摘要
目的:观察Bi-PAP呼吸机治疗慢性阻塞性肺疾病(COPD)并发呼吸衰竭的疗效。方法:39例患者按住院先后顺序分为2个实验组,呼吸机组21例,持续Bi-PAP呼吸机治疗;吸氧组18例,持续低流量吸氧。两组同时给予抗炎、平喘、补液等常规治疗并辅以积极的护理措施。观察血气和临床症状变化。结果:治疗7d后,呼吸机组比吸氧组其pH值(△PH呼吸机组0.13±0.02,吸氧组0.11±0.07)、PaCO2(△PaCO2呼吸机组2.51±1.02,吸氧组0.51±2.42);PaO2(△PaO2呼吸机组3.86±2.02,吸氧组1.13±1.77)改善程度差异有显著性(P<0.01)。结论:COPD并发呼吸衰竭患者使用Bi-PAP呼吸机治疗,对低氧血症和CO2潴留改善明显,疗效明确,可提高患者的生存质量。
Objective：To observe the effect of Bi - PAP breath machine treatment chronicity blocking lung disease （COPD） concurrent breath failure curative. Methods：39 example patients successively divide 2 experimental group , breath aircraft crews in proper order 21 examples according to being in hoso pital , sustained breath machine treats; Attract oxygen forming 18 examples, sustained low rate of flow attracts oxygen. Give the measure curing and aso sisting the active nursing to routine such as resisting imflammation , putting down asthma , fluid infusion two set at the same time, Observe courage and uprightness and clinical symptoms change. Results：After 7 days, the breath unit ratio attracts the oxygen group, its PH value （ A pH breath unit 0. 13 ± 0. 02, attracts oxygen group 0.11±0.07 ）, PaCO2 （ △ PaCO2 breath unit 2. 51±1. 02, attracts oxygen group 0.51 ± 2.42 ） ; PaO2 （△ PaO2 breath unit 3. 86 ± 2.02, attracts oxygen group 1.13 ±1. 77 ） to improve the degree difference to have significance（ P 〈 0.01 ）. Conclusion：The COPD concurrent breath failure patient uses the Bi - PAP breath machine treatment, and CO2 keeps the improvement to the low oxygen blood sickness to be obvious, and the effect is clear, may improve patient＇s survival quality.
出处
《护理实践与研究》
2007年第3期1-3,共3页
Nursing Practice and Research
关键词
双血压呼吸机
慢性阻塞性肺疾病
呼吸衰竭
护理
Bi - level positive airway pressure
Chronic obstructive pulmonary disease
Respiratory failure
Nursing
