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目的比较常规护理和综合护理干预对无创正压通气治疗COPD合并Ⅱ型呼吸衰竭患者的临床效果。方法将我院收治的COPD合并Ⅱ型呼吸衰竭患者114例按护理方式分为观察组(n=59)和对照组(n=55),对照组给予无创机械通气常规护理,观察组给予综合护理干预,比较两组患者的临床效果。结果与治疗前相比,治疗后3 d,两组患者的pH、PaO_2均升高,Pa CO2降低,差异具有统计学意义(P<0.05);组间比较PaO_2、PaCO_2,差异具有统计学意义(P<0.05);观察组并发症发生率为20.3%低于对照组的45.5%(P<0.05)。结论无创正压通气联合综合性护理干预治疗COPD合并Ⅱ型呼吸衰竭患者,可明显改善患者的通气功能,降低并发症的发生率。
Objective To compare the clinical effects of conventional nursing and comprehensive nursing intervention on noninvasive positive pressure ventilation in patients with COPD and type Ⅱ respiratory failure. Methods One hundred and fourteen patients with COPD and type Ⅱ respiratory failure admitted to our hospital were divided into observation group (n = 59) and control group (n = 55) according to the nursing method. The control group was given routine noninvasive mechanical ventilation. The observation group was given general nursing Intervention, the clinical effects of two groups were compared. Results Compared with those before treatment, the pH, PaO 2 and PaCO 2 in both groups were significantly decreased at 3 d after treatment (P <0.05), and there was significant difference between the two groups in PaO 2 and PaCO 2 (P <0.05). The complication rate in the observation group was 20.3% lower than that in the control group (45.5%, P <0.05). Conclusion Noninvasive positive pressure ventilation combined with comprehensive nursing intervention in patients with COPD and type Ⅱ respiratory failure can significantly improve the patient’s ventilation and reduce the incidence of complications.