摘要
目的探讨氧驱动雾化吸入联合无创呼吸机治疗在COPD合并呼吸衰竭患者中的应用及护理效果。方法将我科2011年1月～2012年12月住院的39例COPD合并呼吸衰竭的无创呼吸机使用患者随机分为两组:观察组21例,采用无创呼吸机合并氧气驱动雾化吸入治疗;对照组18例,采用常规雾化吸入治疗(摘机使用雾化吸入)。比较观察两组患者在改善低氧、二氧化碳潴留、呼吸困难、排痰困难、无创通气引起的口干、咽痛等临床症状与改善肺功能的效果。结果两组患者经治疗后肺功能和血气分析结果均有改善,除观察组l例因病情加重送ICU治疗后好转外,其他患者均经治疗后成功脱离无创呼吸机,病情好转出院。观察组在住院日程、呼吸机使用时间均明显低于对照组;观察组治疗期间出现口干、咽痛及排痰困难的患者比例也较对照组明显降低,两组率的比较有统计学意义,P<0.05。结论对持续使用无创呼吸机的COPD合并呼吸衰竭患者合并氧气驱动雾化吸入治疗,提高了患者在住院期间的治疗效果和生活质量,值得临床推广应用。
Objective To explore the application and nursing of oxygen-driven inhalation joint with non-invasive ventilation therapy in COPD patients with respiratory failure.Methods 39 cases diagnosed COPD with respiratory failure during January 2011 to December 2012 in our department were randomly divided into two groups：the experimental group（21 cases） and control group（18cases）.The eperimental group useing non-invasive ventilation combined oxygen-driven inhalation otherwise the control group using conventional inhalation therapy（off-hook inhalation）.Compare the improving of hypoxia,carbon dioxide retention,dyspnea,difficulty in expectoration,dry mouth and sore throat caused by noninvasive ventilation,and improveing of lung function.Results Lung function and blood gas analysis results were all improved in Two groups after treatment.In addition to 1 cases in observation group was send to ICU due to exacerbation,other cases were successfully weaned from non-invasive ventilator.The length of stay and ventilation time in experimental group were significantly lower than the control group.The ratio of sore throa,dry mouth and difficulty in expectoration in experimental group was statistically significante lower than the control group,P0.05.Conclusion Oxygen-driven inhalation therapy can improve the therapeutic effect and quality of life in COPD patients with respiratory failure using non-invasive ventilation during hospitalization and worthy of clinical application.
出处
《四川医学》
CAS
2013年第7期1099-1101,共3页
Sichuan Medical Journal
