老年慢性阻塞性肺疾病合并II型呼吸衰竭患者应用无创正压通气的护理.doc

老年慢性阻塞性肺疾病合并II型呼吸衰竭患者应用无创正压通气的护理
【摘要】目的探讨住院老年慢性阻塞性肺疾病(COPD)合并II型呼吸衰竭患者应用无创正压通气辅助治疗的效果和护理经验。方法观察我院呼吸内科2008年7月-2009年7月收治的60例住院老年COPD合并II型呼吸衰竭患者应用无创正压通气前后临床症状及血气分析,并给予护理干预。结果经无创正压通气治疗护理后,患者呼吸困难症状减轻,动脉血氧分压和二氧化碳分压显著改善。结论老年慢性阻塞性肺疾病合并II型呼吸衰竭患者应用无创正压通气创伤小、操作简单、减少了有创通气的危险因素、降低并发症发生。
【关键词】慢性阻塞性肺疾病 II型呼吸衰竭无创正压通气
【Abstract】Objective To investigate the effects and nursing experiences of the noninvastive positive pressure ventilation (NIPPV) on patients of chronic obstructive pulmonary disease(COPD) with II type raspiratory The changes of symptoms and blood gas per and post NIPPV treatment in 60 subjects(≥65age) of COPD with II type raspiratory failure seen at hospital in - was observed and made nursing intervention. Results pations had relieved dyspnea and that Arterial Partial Pressure of Oxygen and Arterial Partial Pressure of Carbon Dioxide were significant In the treatment of COPD with II respiratory failure, noninvasive positive pressure ventilation, simple in operation with small trauma, reduced the risk factors in invastive ventilation,plications.
【Key wores】COPD Raspiratory failure Noninvastive positive pressure ventilation
慢性阻塞性肺疾病(COPD)是一种不完全可逆的气流受限为特征的疾病,气流受限呈进行性发展,多与肺部对有害颗粒及气体的异常炎症反应相关[1]。患者通气功能障碍,造成长期缺氧和二氧化碳潴留导致低氧血症和高碳酸血症及酸中毒易引起Ⅱ型呼吸衰竭,危及患者生命能够。研究表明:COPD发病率与年龄成正比,目前居全球死亡原因的第4位并逐年上升[2]。无创通气治疗目的是辅助病人呼吸,减轻呼吸肌疲劳,老年COPD合并II型呼吸