优质护理对双水平无创正压通气联合尼可刹米治疗肺性脑病疗效的影响

《优质护理对双水平无创正压通气联合尼可刹米治疗肺性脑病疗效的影响》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、优质护理对双水平无创正压通气联合尼可刹米治疗肺性脑病疗效的影响(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：探讨优质护理对双水平无创正压通气联合尼可刹米治疗肺性脑病疗效的影响。方法:选取2015年1月至2016年1月到商丘市第一人民医院就诊的肺性脑病患者50例，随机分为护理组和对照组，各25例。两组均实施双水平无创正压通气联合尼可刹米治疗，对照组采用常规护理，护理组在常规护理棊础上采用优质护理干预。将两组患者的血气指标水平、临床疗效及住院时间进行对比。结果：护理组的血气分析水平及临床有效率好于对照组，住院时间低于对照组

2、,差异显著(P<0.05)o结论：在肺性脑病患者采用双水平无创正压通气与尼可刹米联合治疗期间采用优质护理效果显著，可有效改善患者血气分析水平，提高治疗有效率，加速患者康复进程。［关键词］肺性脑病；优质护理；无创正压通气；临床疗效Effectofhigh-qualitynursingontheefficacyofbi-levelnoninvasivepositivepressureventilationcombinedwithnikethamideinthetreatmentofpulmonaryencephalopathyYangYang(Shang

3、qiuFirstPeople'sHospitalRespiratoryCriticalMedicineRICU,Shangqiu,Henan476100)［Abstract］Objective:Toexploretheeffectofhighqualitynursingontheefficacyofbi-levelnoninvasivepositivepressureventilationcombinedwithnikethamideinthetreatmentofpulmonaryencephalopathy.Methods:FromJanuary

4、2015toJanuary2016,50patientswithpulmonaryencephalopathytreatedinShangqiuFirstPeople'sHospitalwererandomlydividedintonursinggroupandcontrolgroup.Twogroupsofnon-invasivepositivepressureventilationcombinedwithnikethamidetreatment,thecontrolgroupusingconventionalcare,nursinggroupin

5、theconventionalcarebasedontheuseofqualitycareintervention.Thebloodgaslevel,clinicalcurativeeffectandhospitalizationtimeofthetwogroupswerecompared.Results:Thebloodgasanalysislevelandclinicaleffectiverateofthenursinggroupwerebetterthanthoseofthecontrolgroup,andthehospitalizationt

6、imewaslowerthanthecontrolgroup(P<0.05).Conclusion:Inpatientswithpulmonaryencephalopathy,theuseofdouble-levelnon-invasivepositivepressureventilationandnikethamidecombinationtherapyduringtheuseofhighqualitycareeffectcansignificantlyimprovethelevelofbloodgasanalysis,improvethet

7、reatmentefficiencyandacceleratetherehabilitationprocess.[KEYWORDS]pulmonaryencephalopathy;qualitycare;noninvasivepositivepressureventilation;clinicalefficacy肺性脑病又称肺心脑综合征，是慢性支气管炎并发肺气肿、肺源性心脏病及肺功能衰竭引起的脑组织损害及脑循环障碍[1】，病情严重者预后差且影响其正常生活，其至死亡。临床治疗多采用呼吸机与药物联合治疗，效果明显，但由于患者发病吋多陷入昏或情绪低落，影响

8、治疗效果[2】。故为增强治疗效果，本研宄在肺性脑病患者治疗时采用优质护理。现将结果示下。1资料与方法1.1一