祝雪毅

【摘 要】目的：探析慢性阻塞性肺疾病（COPD）合并重症呼吸衰竭进行无创呼吸机治疗的护理要点及效果。方法：抽取我院2019年1月至2021年1月收治的开展无创呼吸机治疗的COPD合并重症呼吸衰竭患者56例作为本次研究的样本，依照双色球法分为A组、B组，均为28例。A组给予综合护理，B组给予常规护理，统计对比两组患者血气指标、肺功能的变化情况与护理有效率。结果：治疗与护理干预后A组的肺功能指标与血气分析指标PaCO2、PaO2、FEV1、FEV1/FVC均优于B组，A组护理有效率为92.86%优于B组，A组与B组对比（P<0.05），即有统计学意义。结论：在无创呼吸机治疗COPD合并重症呼吸衰竭过程中应用综合护理，有利于改善血气指标和肺功能，具有在临床中推广普及的价值。

【关键词】慢性阻塞性肺疾病；重症呼吸衰竭；无创呼吸机治疗；综合护理

Comprehensive Nursing Research on Noninvasive Ventilator Treating Chronic Obstructive Pulmonary Disease Complicated with Severe Respiratory Failure

Zhu Xueyi

The First People’s Hospital of Zaoyang， Hubei Zaoyang 441200， China

【Abstract】Objective： To explore the nursing points and effects of non-invasive ventilator therapy for chronic obstructive pulmonary disease（COPD） complicated with severe respiratory failure. Methods： Fifty-six COPD patients with severe respiratory failure who were treated in our hospital from January 2019 to January 2021 who were treated with non-invasive ventilator therapy were selected as the samples of this study. According to the two-color ball method， they were divided into group A and group B， both were 28 cases. Group A was given comprehensive nursing care， and group B was given routine nursing care. The changes in blood gas indexes， lung function and nursing efficiency of the two groups were statistically compared. Results： After treatment and nursing intervention， the pulmonary function indexes and blood gas analysis indexes PaCO2，PaO2，FEV1，FEV1/FVC of group A were better than those of group B. The effective rate of nursing care in group A was 92.86% better than that of group B， there was statistical significance between group A and group B（P<0.05）.Conclusion： The application of comprehensive nursing care during the treatment of COPD complicated with severe respiratory failure by non-invasive ventilator is beneficial to improve blood gas indicators and lung function， and has the value of comprehensive clinical application.

【Key？Words】Chronic obstructive pulmonary disease； Severe respiratory failure； Non-invasive ventilator therapy； Comprehensive care

慢性阻塞性肺疾病简称慢阻肺，主要指的是气流受限为主要特征的一种肺部疾病。病情呈现进行性发展的状态，逐渐恶化的过程中会向肺心病、呼吸衰竭发展，影响到日常工作、生活。对于合并呼吸衰竭的COPD患者，需要将促进和恢复通气功能作为治疗的关键，而无创呼吸机治疗可以满足这一要求。长期进行无创通气会增加身体、心理不适感，影响整体疗效和预后，所以需要在治疗过程中辅助、配合临床护理[1]。本文抽取我院收治的开展无创呼吸机治疗的COPD合并重症呼吸衰竭患者56例作为本次研究的样本，应用综合护理的干预效果现汇报如下。

1.1 一般資料

抽取我院2019年1月至2021年1月收治的开展无创呼吸机治疗的COPD合并重症呼吸衰竭患者56例作为实验样本，依照双色球法分为A组、B组，均为28例。……