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无创正压机械通气在慢性阻塞性肺疾病合并呼吸衰竭中的应用和护理 被引量:3

Non-invasive positive pressure ventilation treating COPD complicating respiratory failure and nursing
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摘要 目的探讨无创正压通气治疗慢性阻塞性肺病(COPD)并呼吸衰竭的效果。方法将68例COPD并呼吸衰竭患者随机分成观察组与对照组;观察组为无创正压通气治疗组,对照组为经鼻导管氧疗组:比较两组的治疗效果。结果就动脉血气分析观察,经无创正压通气给氧与鼻导管给氧对COPD的影响具有显著性差异,经无创正压通气治疗后患者PaO2明显升高,PaCO2明显降低。结论无创正压通气治疗对改善COPD合并呼吸衰竭患者的呼吸功能,纠正低氧血症有良好效果。 Objective: To study the treatment efficacy of COPD and respiratory failure with NIPPV. Methods:Sixty - eight patients with COPD and respiratory failure were randomized to divided into two groups: observational group, treating NIPPV ; comparative group, treating with oxygen through, nose tube. The response of the two groups was compared . Resuits: In the arterial blood gas for granted, there was a markable difference in the oxygen treatment between NIPPV and nose tube. After treated by NIPPV the patients PaO2 were raised obviously and PaCO2 were lowered evidently. Conclusion: NIPPV can be used for patients with COPD and respiratory failure, which can improve the pulmonary function and rectify the hypoxemia. And the clinical treatment efficacy is good.
作者 苏波
出处 《泰山医学院学报》 CAS 2008年第12期982-983,共2页 Journal of Taishan Medical College
关键词 无创正压机械通气 呼吸衰竭 护理 NIPPV respiratory failure nursing
作者简介 苏波(1961-),女,山东济南人,副主任护师,专科,主要从事临床护理工作.
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