无创正压通气治疗66例AECOPD合并呼吸衰竭患者临床护理干预方法与护理效果观察.docVIP

无创正压通气治疗66例AECOPD合并呼吸衰竭患者临床护理干预方法与护理效果观察 　　【摘要】 目的：观察无创正压通气治疗AECOPD合并呼吸衰竭患者中的临床护理干预方法及其护理效果。方法：从本院2016年1月-2017年1月接收并行无创正压通气治疗的AECOPD合并呼吸衰竭患者中选择66例分为两组，每组各33例。常规组实施常规护理，观察组开展综合护理干预，比较两组护理的价值。结果：观察组护理后的PaCO2、PaO2、SpO2、HR、RR水平均优于常规组（P0.05）；观察组护理后并发症发生率、护理总满意度均优于常规组（P0.05）。结论：无创正压通气治疗AECOPD合并呼吸衰竭患者中开展综合护理干预的效果显著，可推广。 　　【关键词】 无创正压通气； AECOPD合并呼吸衰竭； 临床护理干预方法 　　The Observation of Noninvasive Positive Pressure Ventilation to Treat 66 Cases of AECOPD Combination of Respiratory Failure in Patients with Clinical Nursing Intervention Methods and Nursing Effect/LI Jie-nyu.//Medical Innovation of China，2017，14（16）：087-089 　　【Abstract】 Objective：To observe the noninvasive positive pressure ventilation in the treatment of AECOPD combination of respiratory failure patients in the clinical nursing intervention methods and nursing effect.Method：66 patients who received parallel noninvasive positive pressure ventilation therapy AECOPD combined with respiratory failure were selected from January 2016 to January 2017，they were divided into two groups，33 cases in each group.The routine group was given routine nursing，observation group was treated with the comprehensive nursing intervention，the nursing values of two groups were compared.Result：After nursing，the levels of PaCO2，PaO2，SpO2，HR and RR in observation group were better than those of routine group（P0.05）.The nursing complications and the total satisfaction in observation group were better than those of routine group（P0.05）.Conclusion：Noninvasive positive pressure ventilation in the treatment of AECOPD combined to carry out the effect of comprehensive nursing intervention in patients with respiratory failure，can be promoted. 　　【Key words】 Noninvasive positive pressure ventilation； AECOPD combination of respiratory failure； Clinical nursing intervention methods 　　First-author’s address：Zhongshan City People’s Hospital，Zhongshan 528400，China 　　doi：10.3969/j.issn.1674-4985.2017.16.024 　　慢性阻塞性肺疾病（COPD）是呼吸科常?疾病，该病极易因感染而导致疾病急性加重（