Comprehensive nursing for patients with acute exacerbation chronic obstructive pulmonary disease and type Ⅱ respiratory failure treated by mechanical ventilation
10.7619/jcmp.201810005
- VernacularTitle:急性加重期慢性阻塞性肺疾病并Ⅱ型呼吸衰竭机械通气治疗患者的综合护理
- Author:
Jing HAN
1
;
Lanlan HU
;
Baining FENG
Author Information
1. 陕西省宝鸡市人民医院重症医学科
- Keywords:
acute exacerbation;
chronic obstructive pulmonary disease;
type Ⅱ respiratory failure;
mechanical ventilation;
comprehensive nursing
- From:
Journal of Clinical Medicine in Practice
2018;22(10):16-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the comprehensive nursing of patients with chronic obstructive pulmonary disease (COPD) and type Ⅱ respiratory failure mechanicalventilation.Methods A total of 90 patients with of COPD and type Ⅱ respiratory ventilation were enrolled in our hospital,and were divided into control group and study group by random number table method,with 45 cases in each group.The two groups were treated with conventional symptomatic support and mechanical ventilation.The control group was treated with routine nursing,while the study group applied comprehensive nursing intervention.The changes of blood gas and lung function were observed before and after the two groups,and the incidence of ventilator-related complications,mechanical ventilation time and hospitalization time were compared.Results Compared with the control group,p (CO2) were lower in the study group than that in the control group (P ＜ 0.05),and the p (02) and SpO2 were higher(P ＜0.05).Forced expiratory volume at 1 second(FEV1) and forced vital capacity(FVC) were significantly improved in the study group,but there was no significant difference between the two groups (P ＞ 0.05).The incidence of complications related to ventilator was 4.44％ in the study group,which was lower than 22.22％ in the control group (P ＜ 0.05).The duration of ventilation and hospital stay were lower in the study group than that in the control group (P ＜ 0.05).Conclusion Comprehensive nursing measures in patients with COPD complicated with respiratory failure and mechanical ventilation can effectively guarantee the therapeutic effect and safety,speed up the recovery rate and is suitable for clinical promotion.
