首页|无创呼吸机联合预见性护理对COPD合并呼吸衰竭治疗效果的影响

无创呼吸机联合预见性护理对COPD合并呼吸衰竭治疗效果的影响

The effect of non-invasive ventilation combined with predictive nursing on the treatment of COPD complicated with respiratory failure

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目的:探讨无创呼吸机联合预见性护理对慢性阻塞性肺疾病(COPD)合并呼吸衰竭治疗效果的影响.方法:选取某医院收治的68例COPD合并呼吸衰竭患者为研究对象,随机分为对照组和观察组,各34例患者.患者均进行无创呼吸机治疗,对照组患者实施常规护理干预,观察组患者在常规护理的基础上增加预见性护理干预.评估两组患者临床疗效、血气指标、并发症发生率.结果:观察组患者治疗总有效率高于对照组(P<0.05).治疗后,观察组患者动脉血氧分压(PaO2)、血氧饱和度(SaO2)高于对照组,血二氧化碳分压(PCO2)低于对照组(P<0.05).观察组患者并发症发生率低于对照组(P<0.05).结论:无创呼吸机联合预见性护理对COPD合并呼吸衰竭患者有良好的治疗效果,可改善患者血气指标,降低并发症发生率.
Objective:To investigate the effect of non-invasive ventilation combined with predictive care on the treatment of chronic obstructive pulmonary disease(COPD)with respiratory failure.Method:68 COPD patients with respiratory failure admitted to hospital were selected as the subjects and randomly divided into a control group and an observation group,with 34 cases in each group.All patients underwent non-invasive mechanical ventilation treatment,while the control group received routine nursing interventions,while the observation group received additional predictive nursing interventions.Evaluate the clinical efficacy,blood gas indicators,and incidence of complications in two groups of patients.Result:The total effective rate of the observation group which was higher than the control group(P<0.05).After treatment,the arterial oxygen partial pressure(PaO2)and blood oxygen saturation(SaO2)in the observation group were higher than those in the control group,while the blood carbon dioxide partial pressure(PCO2)was lower than that in the control group(P<0.05).The incidence of complications in the observation group which was lower than the control group(P<0.05).Conclusion:The combination of non-invasive ventilation and predictive care has a good therapeutic effect on COPD patients with respiratory failure,which can improve blood gas indicators and reduce the incidence of complications.

chronic obstructive pulmonary diseaserespiratory failurenon invasive ventilatoranticipatory careblood gas indicators

易荣华、邹小兰、段石发

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于都县人民医院 江西于都 342300

慢性阻塞性肺疾病 呼吸衰竭 无创呼吸机 预见性护理 血气指标

赣州市指导性科技计划

GZ2023ZSF799

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(2)
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