短时加大氧流量联合呼吸兴奋剂治疗肺心病2型呼吸衰竭的疗效观察与护理

目的:探讨呼吸兴奋剂联合短时加大氧流量治疗肺心病2型呼吸衰竭的效果。方法:对80例肺心病2型呼吸衰竭(呼衰)患者,分为对照组和实验组,对照组采取控制性氧疗,实验组在持续低流量吸氧的基础上,加用呼吸兴奋剂并联合短时加大氧流量吸氧,观察两组氧疗前、后各临床指标。结果:治疗后两组患者血气指标有显著性差异,实验组疗效优于对照组(P均<0.01)。结论:呼吸兴奋剂联合加大氧流量治疗肺心病2型呼吸衰竭疗效显著高于持续低流量吸氧的疗效。

Effects and nursing of treating cor pneumonale with type Ⅱ respiratory failure using high flow oxygen and respiratory stimulants in short time

Objective:To observe the therapeutic effects of treating cor pneumonale with type II respiratory failure using high flow oxygen and respiratory stimulants in short time.Methods:A total of 80 cases of cor pneumonale with type II respiratory failure were divided into trial group and control group.Patients in the control group were treated with controlled oxygen therapy whereas those in the trial group were treated with respiratory stimulants combined with short-time high flow oxygen on the bases of continuous low-flow oxygen therapy.The clinical indicators before and after oxygen therapy were analyzed.Results:Significant difference in blood gas indicators was found between the trial group and control group;the therapeutic effect in trial group was more satisfactory than that in control group(P<0.01).Conclusion:The therapeutic effects of respiratory stimulant combined with short-time high flow oxygen is more satisfactory than that of continuous low-flow oxygen therapy for the cor pneumonale with type II reapiratory failure.