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目的探讨循证护理对无创呼吸机辅助治疗患者临床症状及应激反应的影响。方法选取天津市人民医院呼吸科2016年4月-2017年1月慢性阻塞性肺疾病(COPD)并呼吸衰竭者80例,随机数字表法分为观察组、常规组各40例,常规组实施常规护理方案,观察组采用循证护理干预;评价两组患者血氧应激反应,在治疗前和治疗3d后分别采用比色法、霉素率法等检测患者的丙二醛(MDA)、超氧化物歧化酶(SOD)指标等。结果观察组患者MDA、SOD指标明显优于常规组,差异有统计学意义(P<0.05)。结论循证护理使无创呼吸机辅助治疗患者的应激反应降低,可促进患者快速康复,具有重要的临床价值。
Objective To investigate the influence of evidence-based nursing on clinical symptoms and stress response in non-invasive ventilator-assisted therapy. Methods Eighty patients with chronic obstructive pulmonary disease (COPD) and respiratory failure from April 2016 to January 2017 in Tianjin Respiratory Hospital were enrolled in this study. They were randomly divided into observation group (n = 40) and conventional group (n = 40) Routine nursing program, the observation group using evidence-based nursing intervention; assessment of the two groups of patients with oxygen stress response, before and after treatment for 3d, respectively, using colorimetry, such as detection of malondialdehyde in patients with malondialdehyde (MDA) Superoxide dismutase (SOD) indicators and so on. Results In the observation group, the indexes of MDA and SOD were significantly better than those of the conventional group (P <0.05). Conclusion Evidence-based nursing makes patients with noninvasive ventilator-assisted therapy reduce the stress response, can promote rapid recovery of patients, has important clinical value.