首页|个性化体位管理联合无创正压通气对COPD合并呼吸衰竭患者生活质量的影响

个性化体位管理联合无创正压通气对COPD合并呼吸衰竭患者生活质量的影响

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目的 探讨个性化体位管理联合无创正压通气在慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者中的应用效果.方法 选择2020年4月至2022年9月我院收治的COPD合并呼吸衰竭患者94例,随机分为两组各47例.两组均行无创正压通气,对照组实施常规护理,观察组实施个性化体位管理,两组均持续观察至患者出院,对比两组血气指标及生活质量.结果 护理后,观察组动脉血二氧化碳分压(PaCO2)低于对照组,动脉血氧分压(PaO2)高于对照组(P<0.05).护理后,观察组圣乔治呼吸问卷(SGRQ)评分低于对照组(P<0.05).结论 个性化体位管理联合无创正压通气可改善COPD合并呼吸衰竭患者的血气指标,提升其生活质量.
Impact of Personalized Posture Management Combined with Non-Invasive Positive Pressure Ventilation on the Quality of Life in COPD Patients with Respiratory Failure
Objective To explore the application effect of personalized posture management combined with non-invasive positive pressure ventilation in patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods 94 COPD patients with respiratory failure admitted to our hospital from April 2020 to September 2022 were selected and randomly divided into two groups,with 47 cases in each group.Both groups received non-invasive positive pressure ventilation,the control group received routine nursing,and the observation group received personalized posture management.Both groups received continuous observation until discharge.The blood gas indicators and quality of life were compared between the two groups.Results After nursing,the arterial blood partial pressure of carbon dioxide(PaCO2)in the observation group was lower than that in the control group,and the arterial blood partial pressure of oxygen(PaO2)was higher than that in the control group(P<0.05).After nursing,the St.George's Respiratory Questionnaire(SGRQ)score of the observation group was lower than that of the control group(P<0.05).Conclusions Personalized posture management combined with non-invasive positive pressure ventilation can improve the blood gas indicators and quality of life in COPD patients with respiratory failure.

Chronic obstructive pulmonary diseaseRespiratory failurePersonalized posture managementQuality of life

赵方华、杨晨

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湖北省十堰市太和医院,湖北十堰 442099

慢性阻塞性肺疾病 呼吸衰竭 个性化体位管理 生活质量

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(3)
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