慢性阻塞性肺疾病的临床观察与护理

目的：探讨慢性阻塞性肺疾病的临床观察与护理。方法：将120例患者随机分成三组,Ⅰ组40例（无创正压通气＋特殊护理）,Ⅱ组40例（常规氧疗＋特殊护理）和Ⅲ组40例（无创正压通气＋常规护理）,对比观察其疗效。结果：治疗后,Ⅰ组患者的,PaCO2为（53.87±4.53）mm Hg,PaO2为（83.24±2.45）mm Hg,pH（7.41±0.03）;Ⅱ组PaCO2为（62.86±4.51）mm Hg,PaO2为（69.02±3.41）mm Hg,pH（7.28±0.04）,Ⅰ组改善明显好于Ⅱ组（P〈0.05）;Ⅰ组的总有效率为95%,明显高于Ⅲ组的总有效率80%（χ2=4.114 3,P〈0.05）。结论：无创正压通气配合特殊护理治疗慢性阻塞性肺疾病,具有显著成效,值得临床推广。

Clinical observation and nursing of COPD

Objective： To Discuss the clinical observation and nursing of COPD.Methods： 120 cases were randomly divided into three groups,groupⅠ had 40 cases（NPPV＋ Special care）,group Ⅱ had 40 cases（Regular oxygen＋ Special care） and group Ⅲ had 40 cases（NPPV＋ Regular care）,the effect of three groups were compared and observed.Results： After curing,the patients′ PaCO2 was（53.87±4.53） mm Hg,PaO2 was（83.24±2.45） mm Hg and pH was（7.41±0.03） in group Ⅰ,the patients′ PaCO2 was（62.86±4.51） mm Hg,PaO2 was（69.02±3.41） mm Hg and pH was（7.28±0.04） in group Ⅱ,group Ⅰwas better than group Ⅱ（P0.05）;Compared the total effective between group Ⅰ and group Ⅲ,group Ⅰ was 95% which was better than group Ⅲ which was 80%（χ2=4.114 3,P0.05）.Conclusion： NPPV and special care in the treatment of COPD have significant results and be worthy of clinical.