强化优质护理对无创正压通气治疗老年AECOPD合并Ⅱ型呼吸衰竭影响.docVIP

强化优质护理对无创正压通气治疗老年AECOPD合并Ⅱ型呼吸衰竭影响 　　[摘要] 目的 探讨强化优质护理对无创正压通气治疗老年AECOPD合并Ⅱ型呼吸衰竭的影响。 方法 选择125例老年AECOPD合并Ⅱ型呼吸衰竭患者进行无创正压通气治疗，随机分为干预组63例和对照组62例。干预组给予强化优质护理，对照组给予常规护理，观察无创正压通气对患者呼吸频率、心率、血氧饱和度及动脉血气指标改变，对比两组治疗效果、机械通气时间、住院时间及不良反应、并发症。 结果 通气前后动脉血气分析指标PaO2、PaCO2、pH比较，差异均有统计学意义（P0.05），但干预组机械通气时间和住院时间均明显少于对照组（P0.05）。干预组面罩漏气、压伤、误吸/呛咳、胃肠胀气、感染及气切发生率均显著低于对照组（P0.05）。 结论 无创正压通气可有效改善老年AECOPD合并Ⅱ型呼吸衰竭患者呼吸、循环、血气分析指标，强化优质护理有助于改善患者机械通气效率，降低不良反应及并发症发生率。 　　[关键词] 慢性阻塞性肺疾病急性加重；呼吸衰竭；无创正压通气；护理 　　[中图分类号] R563.9 [文献标识码] B [文章编号] 1673-9701（2015）09-0147-04 　　Noninvasive positive pressure ventilation treatment of elderly AECOPD with type Ⅱ respiratory failure and nursing 　　ZHAO Miaoying1 SHEN Guodi2 　　1.Infusion Section，the Central Hospital of Yiwu City in Zhejiang Province，Yiwu 322000，China；2.EICU，the Central Hospital of Huzhou City in Zhejiang Province，Huzhou 313000，China 　　[Abstract] Objective To strengthen the quality nursing on effect of noninvasive positive pressure ventilation in the treatment of aged AECOPD combined with respiratory failure type. Methods A total of 125 cases of elderly patients with type Ⅱ respiratory failure AECOPD patients with noninvasive positive pressure ventilation treatment， 63 cases were randomly divided into intervention group and control group 62 cases， strengthen the quality of care given to the intervention group， the control group received routine care， observation of non-invasive positive pressure ventilation in patients with respiratory rate， heart rate， oxygen saturation and arterial blood gas analysis indicators change， compared two groups of treatment， duration of mechanical ventilation， length of stay and adverse reactions and complications. Results Arterial blood gas analysis before and after ventilation PaO2， PaCO2， PH， the difference were statistically significant（P0.05）， but the intervention group duration of mechanical ventilation and length of stay were significantly less than the control group （P 　　[Key words] Chronic obstructive pulmonary dis