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无创正压通气治疗COPD合并Ⅱ型呼吸衰竭的观察及护理体会 被引量:10

Clinical observation and nursing care in the treatment of COPD with type Ⅱ respiratory failure by non-invasive positive pressure ventilation
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摘要 目的探讨无创正压通气治疗COPD合并Ⅱ型呼吸衰竭的疗效及护理。方法将60例COPD合并Ⅱ型呼吸衰竭患者随机分为观察组合对照组,两组均予常规药物治疗及相应护理,观察组予NIPPV治疗,对照组予吸氧,观察比较两组血气分析变化及住院时间、住院费用、气管插管率。结果观察组应用NIPPV治疗后血气指标明显改善,平均住院时间缩短,降低住院费用及气管插管率,与对照组比较差异有统计学意义(P〈0.05)。结论 NIPPV是治疗COPD合并Ⅱ型呼吸衰竭的有效方法,细致护理可减少不良反应发生,提高NIPPV治疗成功率。 Objective Discuss the nursing method on treatment of COPD with type II respiratory failure by non-invasive positive pressure ventilation.Methods 60 patients of COPD with type II respiratory failure were divided into experiment group and control group randomly.All patients received conventional medical therapy and appropriate nursing,patients of experiment group received NIPPV,but who of control group received oxygen inhale.The blood gas analysis indexes,length and cost of hospitalization,the rate of tracheal intubation were observed and compared between the two groups.Results The obvious improvement was found in blood gas indexes,length of hospitalization was shortened,cost of hospitalization and the rate of tracheal intubation were markedly reduced in study group.There was significant difference in the comparison between the two groups(P〈0.05).Conclusion NIPPV is one of effective methods in the treatment of patients of COPD with type II respiratory failure.Meticulous nursing care can decreases the incidence of complications and raise the achievement ratio of NIPPV.
作者 苏庆玲 SU Qing-ling.(2cu,Guang zhou 511400,China )
出处 《中国实用医药》 2011年第5期 183-185,共3页 China Practical Medical
关键词 无创正压通气 慢性阻塞性肺疾病(COPD) Ⅱ型呼吸衰竭 护理 NIPPV COPD Type Ⅱ respiratory failure Nursing
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