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1、BiPAP呼吸机辅助治疗COPD合并II型呼吸衰竭52例临床护理体会［摘要］目的探讨BiPAP呼吸机辅助治疗慢性阻塞性肺疾病(COPD)合并II型呼吸衰竭患者的疗效和护理方法。方法将52例COPD合并II型呼吸衰竭的患者在常规治疗的同时予以BiPAP呼吸机辅助治疗，并给予全面、周到、专业的护理，观察治疗前后患者动脉血气分析(pH、Pa02、PaC02)和相关不良反应发生率，并调查患者及其家属对护理的满意度。结果患者的自觉症状改善较以往常规治疗明显且快，治疗结束时患者Pa02明显升高(t=2&06,P<0.01),PaC02降低(t=11.98,P<0.01),pH改善
2、明显(t=10.07,P<0.01)。7例患者出现与使用BiPAP呼吸机相关的轻度不良反应，但经积极对症治疗和合理护理均明显好转，患者总满意率为90.38%O结论BiPAP呼吸机辅助治疗COPD合并II型呼吸衰竭具有迅速改善症状、有效纠正低氧和高碳酸血症和提高生存质量和优点，有较高的临床应用价值，但在临床应用中应当予以全面、周到、专业的护理。［关键词］双水平无创正压通气；慢性阻塞性肺疾病；II型呼吸衰竭；护理［中图分类号］R562［文献标识码］C［文章编号］1673-7210(2012)07(b)-0136-03NursingcareofCOPDcomplictedw
3、ithtype2respiratoryfailuretreatedwithBiPAPventilatoradjunctivetherapyFANJingjingHUhonglingDepartmentofRespiratory,WuhanCentralHospital,HubeiProvince,Wuhan430014,China[Abstract]ObjectiveToexploretheclinicaleffectsandnursingmethodsofthebilevelpositiveairwaypressure(BiPAP)adjunctivetherapy
4、inthetreatmentpatientsofchronicobstructivepulmonarydisease(COPD)complicatedwithtypeIIrespiratoryfailure・MethodsOnthebasisofroutinetreatmentsuchasoxygenandantibiotics,BiPAPventilatorwasusedfor52COPDpatientscomplicatedwithtypeIIrespiratoryfailure・Allpatientsreceivedcomprehensiveandprofess
5、ionalnursing.Thechangeoftheirclinicalfeatureswereobserved,suchaspH,Pa02,PaC02,adversereactionsandsatisfactionlevelofnursingfrompatientsandtheirfamilies・ResuItsSymptomswereobviouslyandfastimprovedaftertreatmentofBiPAP・Thegas-bloodanalysisdemonstratedthatPa02significantlyincreased(t二28.06
6、,P<0.01),PaC02decreased(t=11.98,P<0.01)andpHimproved(t二10.07,P〈0.01).Themildventilatorassociatedadversereactionswereseenin7cases,butallpatientsweresignificantlyimprovedaftersymptomatictreatmentandpropernursing.Patientssatisfactionratewas90.38%・ConclusionsBiPAPventilatoradjunctivetherapy
7、isasafeandeffectivetherapeuticapproachforCOPDpatientscomplicatedwithtypeIIrespiratoryfailure,andcomprehensiveandprofessionalnursingisverynecessary.[Keywords]BiPAP；COPD；TypeIIrespiratoryfailure；Nursing慢性阻塞性肺疾病(chronicobstructivepulmonarydisease,COPD)是由于慢性支气管炎和/或肺气肿所导致的、以不完全可逆性气流
