医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
2期
287-287,288
,共2页
急性加重期慢性阻塞性肺疾病%Ⅱ型呼吸衰竭%无创呼吸机%护理
急性加重期慢性阻塞性肺疾病%Ⅱ型呼吸衰竭%無創呼吸機%護理
급성가중기만성조새성폐질병%Ⅱ형호흡쇠갈%무창호흡궤%호리
AECOPD%Ⅱrespiratory failure%Non-invasive ventilator%nursing care
目的：探讨无创呼吸机治疗AECOPDⅡ型呼吸衰竭的临床效果及护理措施。方法：回顾性分析我院收治的66例AECOPDⅡ型呼吸衰竭患者行无创呼吸机治疗的临床效果及护理措施。结果：所有患者治疗后 PaO2、PH均明显升高，PaCO2、呼吸频率和心率均明显下降，与治疗前比较，差异具有统计学意义（P＜0．05）；经机械通气治疗后呼吸困难等症状明显改善，2例患者机械通气后不能耐受改为有创机械通气治疗，15例出现不同程度腹胀、8例出现口鼻咽部干燥，经护理干预后均自行消失。结论：无创呼吸机治疗AECOPDⅡ型呼吸衰竭能够显著改善患者血气指标和呼吸衰竭情况，临床疗效满意。
目的：探討無創呼吸機治療AECOPDⅡ型呼吸衰竭的臨床效果及護理措施。方法：迴顧性分析我院收治的66例AECOPDⅡ型呼吸衰竭患者行無創呼吸機治療的臨床效果及護理措施。結果：所有患者治療後 PaO2、PH均明顯升高，PaCO2、呼吸頻率和心率均明顯下降，與治療前比較，差異具有統計學意義（P＜0．05）；經機械通氣治療後呼吸睏難等癥狀明顯改善，2例患者機械通氣後不能耐受改為有創機械通氣治療，15例齣現不同程度腹脹、8例齣現口鼻嚥部榦燥，經護理榦預後均自行消失。結論：無創呼吸機治療AECOPDⅡ型呼吸衰竭能夠顯著改善患者血氣指標和呼吸衰竭情況，臨床療效滿意。
목적：탐토무창호흡궤치료AECOPDⅡ형호흡쇠갈적림상효과급호리조시。방법：회고성분석아원수치적66례AECOPDⅡ형호흡쇠갈환자행무창호흡궤치료적림상효과급호리조시。결과：소유환자치료후 PaO2、PH균명현승고，PaCO2、호흡빈솔화심솔균명현하강，여치료전비교，차이구유통계학의의（P＜0．05）；경궤계통기치료후호흡곤난등증상명현개선，2례환자궤계통기후불능내수개위유창궤계통기치료，15례출현불동정도복창、8례출현구비인부간조，경호리간예후균자행소실。결론：무창호흡궤치료AECOPDⅡ형호흡쇠갈능구현저개선환자혈기지표화호흡쇠갈정황，림상료효만의。
to explore the clinical effects and nursing care for the patients with AECOPDⅡrespiratory failure by Non-invasive ventilator. Methods:66 cases of patients with AECOPDⅡrespiratory failure by Non -invasive ventilator were analyzed retrospective.Results:The levels of PaO2, pH were higher than prior treatment(P<0.05), the levels of PaCO2, respiratory rate and heart rate were lower than prior treatment(P<0. 05); The symptom of difficult breathing were improved by mechanical ventilation, 2 cases were changed into CVP-MAP, 15 cases were ventosity, 8 cases were dry with mouth and nose, all the symptom were disappear after nursing intervention.Conclusion:It can improve the blood-gas parame-ters and the condition of respiratory failure for the patients with AECOPDⅡrespiratory failure by Non-invasive ventilator, it has pleased clinical effects.
