系统性护理干预对COPD伴呼吸衰竭序贯通气患者康复的影响.docVIP

精品论文 参考文献 系统性护理干预对COPD伴呼吸衰竭序贯通气患者康复的影响 （商丘市第一人民医院呼吸重症医学科RICU 河南商丘 476100） [摘要] 目的：探析系统性护理干预对COPD伴呼吸衰竭序贯通气患者康复的影响。方法：选取2015年2月至2016年2月到商丘市第一人民医院就诊的COPD伴呼吸衰竭患者50例，随机分为实验组和对照组，各25例。对照组采用常规护理，实验组在常规护理基础上实施系统性护理干预。将两组患者的再插管发生情况、ICU治疗时间及通气时间进行对比。结果：实验组的通气时间及ICU治疗时间均低于对照组，差异显著（P＜0.05）；两组再插管发生情况对比，无明显差异（P＞0.05）。结论：在COPD伴呼吸衰竭患者序贯通气治疗期间实施系统性护理干预效果显著，可明显增强治疗效果，缩短治疗时间，促进患者康复。 [关键词] COPD；呼吸衰竭；序贯通气；系统性护理干预；康复效果 Effect of systemic nursing intervention on rehabilitation of patients with COPD complicated with respiratory failure YANG Jun-ying (Department of Respiratory Critical Medicine, Shangqiu First Peoples Hospital, Shangqiu, Henan 476100, China) [Abstract] Objective: To explore the effect of systemic nursing intervention on the rehabilitation of patients with COPD complicated with respiratory failure. Methods: From February 2015 to February 2016, 50 patients with COPD with respiratory failure were randomly divided into experimental group and control group. The control group adopted routine nursing, and the experimental group implemented the systemic nursing intervention on the basis of routine nursing. Intubation occurred in two groups of patients, ICU treatment time and ventilation time for comparison. Results: The ventilation time and ICU treatment time of the experimental group were lower than those of the control group (P lt;0.05). There was no significant difference in the reintubation between the two groups (Pgt; 0.05). Conclusion: Systematic nursing intervention can significantly improve the therapeutic effect, shorten the treatment time and promote the rehabilitation of COPD patients with respiratory failure during the sequential ventilation treatment. [Key words] COPD; respiratory failure; sequential ventilation; systemic nursing intervention; rehabilitation effect 慢性阻塞性肺疾病主要是由吸烟所致的一种以不完全可逆气流受限为特征的慢性呼吸系统疾病[1]。发病时不仅损伤气道、肺血管和肺泡，还损伤其他器官，是一个全身性疾病，发病率、致残率及死亡率高[2]。急性加重期慢阻肺患者常并发呼吸衰竭，严重威胁患者的身心健康。临床治疗常采用呼吸机序贯通气治疗，但常因多种原因导致再次插管，影响治疗效果。故为增