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目的探讨无创正压通气在老年重症肺炎患者中应用的护理措施。方法 41例老年重症肺炎患者给予无创正压通气治疗,总结其护理措施和体会。结果全组患者治疗过程中均能很好配合,经无创正压通气治疗72h后,患者呼吸衰竭症状得到明显缓解,表现为治疗后呼吸困难得到改善,呼吸频率和心率减慢,PaO_2和PaO_2/FiO_2增加,与治疗前比较差异有统计学意义(P<0.05)。结论周密的病情观察和合理的护理措施对无创正压通气的成功治疗至关重要,可使老年重症肺炎患者的呼吸衰竭症状得到缓解,提高治疗效果。
Objective To investigate the nursing measures of non-invasive positive pressure ventilation in elderly patients with severe pneumonia. Methods A total of 41 elderly patients with severe pneumonia were treated with noninvasive positive pressure ventilation and the nursing measures and experiences were summarized. Results All the patients were able to cooperate well during the course of treatment. After 72 hours of noninvasive positive pressure ventilation, the symptoms of respiratory failure were significantly relieved. The symptoms of dyspnea after treatment were improved, the respiratory rate and heart rate slowed, PaO 2 and PaO 2 / FiO_2 increased compared with before treatment, the difference was statistically significant (P <0.05). Conclusion The careful observation of the disease and rational nursing measures are crucial for successful treatment of noninvasive positive pressure ventilation, which can alleviate the symptoms of respiratory failure in elderly patients with severe pneumonia and improve the therapeutic effect.