中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
31期
121-123
,共3页
重症慢性阻塞性肺疾病%喉罩%特种护理措施
重癥慢性阻塞性肺疾病%喉罩%特種護理措施
중증만성조새성폐질병%후조%특충호리조시
Severe chronic obstructive pulmonary disease%laryngeal mask airway%Special nursing measure
目的：探讨特种护理对慢性阻塞性肺疾病(COPD)患者喉罩通气的影响。方法选取本院2013年1月~2014年2月收治的重症COPD使用喉罩通气的78例患者，将患者随机分为观察组(特种护理组)与对照组(常规护理组)，每组各39例。比较两组护理前(入院时)、护理后(1周后)的pH值、动脉血氧分压(PaO2)、二氧化碳分压(PaCO2)、动脉血氧饱和度(SaO2)以及呼吸频率(R)、心率(HR)；观察两组的并发症发生情况。结果除对照组的R外，两组护理前后的pH、PaCO2、PaO2、SaO2、R、HR比较，差异有统计学意义(P<0.05)；两组护理后的pH、PaCO2、PaO2、SaO2、R、HR比较，差异无统计学意义(P>0.05)。两组的并发症发生情况院观察组除3例(7.69%)发生咳嗽外，未发生其他并发症。对照组发生胃内容物反流误吸2例(5.13%)、咳嗽8例(20.51%)、呕吐3例(7.69%)、发声困难2例(5.13%)、吞咽困难4例(10.26%)、咽痛9例(23.08%)、喉痉挛2例(5.13%)、腭垂损伤2例(5.13%)。结论重症COPD患者置入喉罩通气，通过特种对症护理措施明显减少了喉罩通气引起的并发症，从而改善患者的心肺功能。
目的：探討特種護理對慢性阻塞性肺疾病(COPD)患者喉罩通氣的影響。方法選取本院2013年1月~2014年2月收治的重癥COPD使用喉罩通氣的78例患者，將患者隨機分為觀察組(特種護理組)與對照組(常規護理組)，每組各39例。比較兩組護理前(入院時)、護理後(1週後)的pH值、動脈血氧分壓(PaO2)、二氧化碳分壓(PaCO2)、動脈血氧飽和度(SaO2)以及呼吸頻率(R)、心率(HR)；觀察兩組的併髮癥髮生情況。結果除對照組的R外，兩組護理前後的pH、PaCO2、PaO2、SaO2、R、HR比較，差異有統計學意義(P<0.05)；兩組護理後的pH、PaCO2、PaO2、SaO2、R、HR比較，差異無統計學意義(P>0.05)。兩組的併髮癥髮生情況院觀察組除3例(7.69%)髮生咳嗽外，未髮生其他併髮癥。對照組髮生胃內容物反流誤吸2例(5.13%)、咳嗽8例(20.51%)、嘔吐3例(7.69%)、髮聲睏難2例(5.13%)、吞嚥睏難4例(10.26%)、嚥痛9例(23.08%)、喉痙攣2例(5.13%)、腭垂損傷2例(5.13%)。結論重癥COPD患者置入喉罩通氣，通過特種對癥護理措施明顯減少瞭喉罩通氣引起的併髮癥，從而改善患者的心肺功能。
목적：탐토특충호리대만성조새성폐질병(COPD)환자후조통기적영향。방법선취본원2013년1월~2014년2월수치적중증COPD사용후조통기적78례환자，장환자수궤분위관찰조(특충호리조)여대조조(상규호리조)，매조각39례。비교량조호리전(입원시)、호리후(1주후)적pH치、동맥혈양분압(PaO2)、이양화탄분압(PaCO2)、동맥혈양포화도(SaO2)이급호흡빈솔(R)、심솔(HR)；관찰량조적병발증발생정황。결과제대조조적R외，량조호리전후적pH、PaCO2、PaO2、SaO2、R、HR비교，차이유통계학의의(P<0.05)；량조호리후적pH、PaCO2、PaO2、SaO2、R、HR비교，차이무통계학의의(P>0.05)。량조적병발증발생정황원관찰조제3례(7.69%)발생해수외，미발생기타병발증。대조조발생위내용물반류오흡2례(5.13%)、해수8례(20.51%)、구토3례(7.69%)、발성곤난2례(5.13%)、탄인곤난4례(10.26%)、인통9례(23.08%)、후경련2례(5.13%)、악수손상2례(5.13%)。결론중증COPD환자치입후조통기，통과특충대증호리조시명현감소료후조통기인기적병발증，종이개선환자적심폐공능。
Objective To discuss the impact of special nursing for patients with chronic obstructive pulmonary disease (COPD) with laryngeal mask airway ventilation. Methods 78 patients with severe COPD with laryngeal mask airway treated in our hospital from January 2013 to February 2014 were randomly divided into the observation group (the spe-cial nursing group) and the control group (the routine nursing group),and there were 39 cases in each group.pH value,PaO2, PaCO2,SaO2,R,HR before nursing (on admission) and after 1 week nursing in the two groups were compared;the occur-rence of complication in the two groups was observed. Results Except R in the control group,there was a statistical dif-ference of pH value,PaCO2,PaO2,SaO2 and R,HR in the two groups before and after nursing (P<0.05);there was no statisti-cal difference of pH value,PaCO2,PaO2,SaO2 and R,HR after nursing in the two groups (P>0.05).The occurrence of com-plication in the two groups:there was no other complications except 3 cases (7.69%) with cough in the observation group, there were 2 cases (5.13%) with of gastric contents reflux and aspiration,8 cases (20.51%) with cough,3 cases (7.69%) with vomiting,2 cases (5.13%) with dysphonia,4 cases (10.26%) with dysphagia,9 cases (23.08%) with sore throat,2 cases (5.13%) with laryngeal spasm and 2 cases (5.13%) with palate vertical injury. Conclusion For patients with severe COPD inserted laryngeal mask for ventilation,special nursing measure can obviously reduce the complications caused by la-ryngeal mask airway ventilation to improve the function of heart and lung of patients.
