摘要:
目的 探讨综合护理干预下无创正压通气(NIPPV)治疗重症社区获得性肺炎(SCAP)的临床效果.方法 选取SCAP合并呼吸衰竭患者为研究对象50例,随机数字表法分为观察组与对照组各25例;2组均给予吸氧、抗炎、化痰、平喘、纠正水电解质紊乱等常规治疗,并采用BiPAP呼吸机进行NIPPV,对照组实施常规护理,观察组在常规护理下实施综合护理干预;测定通气前后pH值、动脉血氧分压[p(O2)]、二氧化碳分压[p(CO2)]、动脉血氧饱和度(SaO2),及通气前后第1秒用力呼气容积(FEV1)、FEV1和用力肺活量比值(FEV1/FVC)、FEV1％预测值,记录通气前后呼吸(RR)、心率(HR)变化.结果 通气后,观察组pH值、p(O2)、SaO2、p(CO2)、FEV1、FEV1/FVC、FEV1％预测值、RR、HR改善情况优于对照组,差异有统计学意义(P＜0.05).结论 对SCAP合并呼吸衰竭患者采用NIPPV进行治疗的基础上,给予综合护理干预,对改善患者通气、改善血氧饱和度及呼吸功能有积极作用.
Abstract:
Objective To explore clinical application of comprehensive nursing intervention for severe community acquired pneumonia (SCAP) treated by non invasive positive pressure ventilation (NIPPV).Methods A total of 50 SCAP patients with respiratory failure in our hospital were selected as research objects,and were randomly divided into observation group and control group,with 25 cases in each group.Patients in both groups were given oxygen inhalation,anti-inflammatory therapy,removing phlegm,relieving asthma,correcting water and electrolyte disorders and other conventional treatment,and BiPAP ventilator was used for NIPPV.Control group was given routine nursing,and the observation group added comprehensive nursing intervention.The pH value before and after ventilation,arterial oxygen pressure [p(O2)],partial pressure of carbon dioxide [p(CO2)],arterial oxygen saturation (SaO2) were determined,and lung function before and after ventilation forced expiratory volume in one second (FEV1),ratio of FEV1 and forced vital capacity (FEV1/FVC),FEV1％ predicted value were measured.Respiratory rate(RR),and heart rate (HR) changes before and after ventilation were recorded.Results The pH value,p (O2),SaO2,p (CO2),FEV1,FEV1/FVC,,FEV1％,HR and RR in the observation group were better than those in the control group,and there was statistical significant difference (P ＜ 0.05).Conclusion Based on the treatment of NIPPV for SCAP combined with respiratory failure patients,comprehensive nursing intervention can improve ventilation,blood oxygen saturation,and respiratory function.
百度学术
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