无创呼吸机治疗急性加重期慢性阻塞性肺病的护理干预效果观察
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摘要
目的分析无创呼吸机治疗急性加重期慢性阻塞性肺病的护理干预效果。方法方便选择该院2017年1月—2018年6月收治的慢性阻塞性肺病患者80例,随机分成研究组(40例)和对照组(40例),对照组进行常规的治疗,研究组实施无创呼吸机治疗,对两组患者使用不同的治疗方式的效果进行比较。结果研究组使用无创呼吸机治疗总有效是93.5%,对照组是73.4%,差异有统计学意义(χ~2=10.254,P<0.05)。而且研究组在PaO2(91.24±28.57) mmHg、SaO2(94.12±3.65)%数值显示比较对照组(80.63±11.76)mmHg、(91.76±2.68)%高,差异有统计学意义(t=8.624,9.356,P<0.05)。研究组患者住院时间(14.86±3.64)d比对照组短(17.45±4.67)d,差异有统计学意义(t=7.596,P<0.05);研究组患者的神志好转12.5%、神志清醒27.5%比例均显著高于对照组的2.5%、17.5%,神志昏迷比例显著低于对照组,差异有统计学意义(χ~2=8.639,9.576,P<0.05)。结论对慢性阻塞性肺病患者进行无创呼吸机治疗具有很好的临床效果,值得在临床推广。
Objective To analyze the effect of non-invasive ventilator on the treatment of acute exacerbation of chronic obstructive pulmonary disease. Methods Eighty patients with chronic obstructive pulmonary disease admitted to our hospital from January 2017 to June 2018 were convenient selected and randomly divided into study group(40 cases) and control group(40 cases). The control group received routine treatment and the study group implemented non-invasive ventilator treatment. The effects of different treatments in the two groups of patients were compared. Results The total effective rate was 93.5% in the study group and 73.4% in the control group. The difference was statistically significant(χ~2=10.254, P<0.05). Moreover, the values of Pa O2(91.242±8.57) mmHg and SaO2(94.12±3.65)% in the study group were higher than those in the control group(80.63±11.76) mmHg and(91.76±2.68)%, and the difference was statistically significant(t=8.624±9.356, P<0.05). The hospitalization time of patients in the study group(14.86±3.64)d was shorter than that of the control group(17.45±4.67) d, the difference was statistically significant(t=7.596, P<0.05). The patients in the study group improved their consciousness by 12.5% and consciously 27.5%. The proportions were significantly higher than 2.5% and 17.5% of the control group. The proportion of conscious coma of the study group was significantly lower than that of the control group,and the difference was statistically significant(χ~2=8.639、9.576, P<0.05). Conclusion Non-invasive ventilator therapy for patients with chronic obstructive pulmonary disease has a good clinical effect and is worthy of clinical promotion.
Objective To analyze the effect of non-invasive ventilator on the treatment of acute exacerbation of chronic obstructive pulmonary disease. Methods Eighty patients with chronic obstructive pulmonary disease admitted to our hospital from January 2017 to June 2018 were convenient selected and randomly divided into study group(40 cases) and control group(40 cases). The control group received routine treatment and the study group implemented non-invasive ventilator treatment. The effects of different treatments in the two groups of patients were compared. Results The total effective rate was 93.5% in the study group and 73.4% in the control group. The difference was statistically significant(χ~2=10.254, P<0.05). Moreover, the values of Pa O2(91.242±8.57) mmHg and SaO2(94.12±3.65)% in the study group were higher than those in the control group(80.63±11.76) mmHg and(91.76±2.68)%, and the difference was statistically significant(t=8.624±9.356, P<0.05). The hospitalization time of patients in the study group(14.86±3.64)d was shorter than that of the control group(17.45±4.67) d, the difference was statistically significant(t=7.596, P<0.05). The patients in the study group improved their consciousness by 12.5% and consciously 27.5%. The proportions were significantly higher than 2.5% and 17.5% of the control group. The proportion of conscious coma of the study group was significantly lower than that of the control group,and the difference was statistically significant(χ~2=8.639、9.576, P<0.05). Conclusion Non-invasive ventilator therapy for patients with chronic obstructive pulmonary disease has a good clinical effect and is worthy of clinical promotion.
引文
[1]邹坤.无创呼吸机治疗慢性阻塞性肺病急性加重期患者的疗效[J].医疗装备,2017(4):136-137.
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[5]陈德勇,孙晓云,曾雪萍.无创呼吸机治疗慢性阻塞性肺疾病急性加重期呼吸衰竭临床疗效分析[J].右江民族医学院学报,2015(2):214-215.
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[7]宋威蓉,初巍巍,王莉.无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的临床观察[J].中国医学创新,2015(9):43-45.
[8]秦国平.无创呼吸机治疗慢性阻塞性肺疾病急性加重期和稳定期患者的疗效[J].现代诊断与治疗,2015(4):735-736.
[2]苏林.无创呼吸机治疗慢性阻塞性肺疾病急性加重期合并Ⅱ型呼吸衰竭的疗效观察[J].世界最新医学信息文摘,2016,16(82):75,27.
[3]朱涛.无创正压通气治疗慢性阻塞性肺病急性加重期合并呼吸衰竭疗效观察[J].大家健康:学术版,2016,10(8):133-134.
[4]鲁西亮,黄相增.无创正压通气治疗慢性阻塞性肺疾病急性加重期呼吸衰竭的疗效观察[J].实用医学杂志,2015(17):2842-2844.
[5]陈德勇,孙晓云,曾雪萍.无创呼吸机治疗慢性阻塞性肺疾病急性加重期呼吸衰竭临床疗效分析[J].右江民族医学院学报,2015(2):214-215.
[6]庞宗东,梁世锋.无创呼吸机治疗慢性阻塞性肺疾病急性加重期临床疗效观察[J].内科,2015,10(2):192-194.
[7]宋威蓉,初巍巍,王莉.无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的临床观察[J].中国医学创新,2015(9):43-45.
[8]秦国平.无创呼吸机治疗慢性阻塞性肺疾病急性加重期和稳定期患者的疗效[J].现代诊断与治疗,2015(4):735-736.