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目的探讨无创呼吸机治疗慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭患者的护理干预方式及效果。方法回顾性分析33例COPD合并Ⅱ型呼吸衰竭患者临床资料,总结护理工作要点及护理干预效果。结果 33例患者呼吸衰竭症状逐渐消失,且均未合并其他严重并发症及感染,其中仅有1例患者因病情严重,需长期使用无创呼吸机进行辅助呼吸。32例患者均逐渐脱离呼吸机;应用无创呼吸机后,患者呼吸频率、心率明显改善,与应用前相比差异有统计学意义(P<0.05)。结论无创呼吸机治疗COPD合并Ⅱ型呼吸衰竭期间,为患者提供良好的护理干预,能够减少并发症及感染,对提高患者生活质量具有重要意义。
Objective To explore the nursing intervention and its effect in patients with chronic obstructive pulmonary disease (COPD) and type Ⅱ respiratory failure without invasive ventilator. Methods The clinical data of 33 COPD patients with type Ⅱ respiratory failure were retrospectively analyzed. The main points of nursing work and nursing intervention were summarized. Results The symptoms of respiratory failure gradually disappeared in 33 patients, and no other serious complications and infections were associated with them. Only 1 patient suffered from serious illness and needed long-term noninvasive ventilator for assisted breathing. All 32 patients were gradually separated from the ventilator. The application of noninvasive ventilator significantly improved the respiratory rate and heart rate, which were significantly different from those before application (P <0.05). Conclusion Noninvasive ventilator for COPD with type II respiratory failure, to provide patients with good nursing intervention, can reduce complications and infections, to improve the quality of life of patients with great significance.