[1]张叶斐,赵 洁,董春叶,等.危重症专职小组气道综合护理对肺心病合并呼吸衰竭患者机械通气血气指标及肺功能的影响[J].医学信息,2023,36(19):163-166.[doi:10.3969/j.issn.1006-1959.2023.19.037]
　ZHANG Ye-fei,ZHAO Jie,DONG Chun-ye,et al.Effect of Comprehensive Airway Nursing of Critical Care Group on Mechanical Ventilation Blood Gas Index and Lung Function in Patients with Pneumocardial Disease Complicated with Respiratory Failure[J].Journal of Medical Information,2023,36(19):163-166.[doi:10.3969/j.issn.1006-1959.2023.19.037]
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危重症专职小组气道综合护理对肺心病合并呼吸衰竭患者机械通气血气指标及肺功能的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年19期
页码:
163-166
栏目:
护理研究
出版日期:
2023-10-01

文章信息/Info

Title:
Effect of Comprehensive Airway Nursing of Critical Care Group on Mechanical Ventilation Blood Gas Index and Lung Function in Patients with Pneumocardial Disease Complicated with Respiratory Failure
文章编号:
1006-1959（2023）19-0163-04
作者:
张叶斐; 赵 洁; 董春叶; 等
（天津市滨海新区海滨人民医院呼吸与危重症医学科，天津 300280）
Author(s):
ZHANG Ye-fei; ZHAO Jie; DONG Chun-ye; et al.
(Department of Respiratory and Critical Care Medicine,Haibin People’s Hospital,Binhai New Area,Tianjin 300280,China)
关键词:
危重症专职小组; 气道综合护理; 肺心病; 呼吸衰竭
Keywords:
Critical care group; Comprehensive airway nursing; Pneumocardial disease; Respiratory failure
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2023.19.037
文献标志码:
A
摘要:
目的 研究危重症专职小组气道综合护理对肺心病合并呼吸衰竭患者机械通气血气指标及肺功能的影响。方法 选取2022年3月-2023年3月我院诊治的72例肺心病合并呼吸衰竭患者为研究对象，采用随机数字表法分为对照组和观察组，各组36例。对照组开展常规护理，观察组在对照组基础上给予危重症专职小组气道综合护理干预，比较两组血气指标[血氧饱和度（SaO2）、动脉血氧分压（PaO2）、动脉二氧化碳分压（PaCO2）]、机械通气时间、ICU入住时间、肺功能指标［用力肺活量（FVC）、第1秒用力呼气容积（FEV1）]、并发症发生率。结果 两组干预后SaO2、PaO2高于干预前，PaCO2低于干预前，且观察组SaO2、PaO2均高于对照组，PaCO2低于对照组（P＜0.05）；观察组机械通气时间、ICU入住时间短于对照组（P＜0.05）；两组干预后FVC、FEV1高于干预前，且观察组高于对照组（P＜0.05）；观察组并发症发生率为5.56%，低于对照组的16.67%（P＜0.05）。结论 危重症专职小组气道综合护理可促进肺心病合并呼吸衰竭患者机械通气血气指标、肺功能指标改善，缩短机械通气和ICU住院时间，预防并发症发生风险，利于患者康复。
Abstract:
Objective To study the effect of comprehensive airway nursing of critical care group on mechanical ventilation blood gas index and pulmonary function in patients with pneumocardial disease complicated with respiratory failure.Methods A total of 72 patients with pneumocardial disease complicated with respiratory failure who were treated in our hospital from March 2022 to March 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 36 patients in each group. The control group was given routine nursing, and the observation group was given comprehensive airway nursing intervention of critical care group on the basis of the control group. The blood gas indexes [blood oxygen saturation (SaO2), arterial partial pressure of oxygen (PaO2), arterial partial pressure of carbon dioxide (PaCO2)], mechanical ventilation time, ICU stay time, lung function indexes [forced vital capacity (FVC), forced expiratory volume in the first second (FEV1)] and complication rate were compared between the two groups.Results After intervention, SaO2 and PaO2 in the two groups were higher than those before intervention, PaCO2 was lower than that before intervention, and SaO2 and PaO2 in the observation group were higher than those in the control group, PaCO2 was lower than that in the control group (P<0.05). The mechanical ventilation time and ICU stay time in the observation group were shorter than those in the control group (P<0.05). After intervention, FVC and FEV1 in the two groups were higher than those before intervention, and those in the observation group were higher than those in the control group (P<0.05). The incidence of complications in the observation group was 5.56%, which was lower than 16.67% in the control group (P<0.05).Conclusion Comprehensive airway nursing of critical care group can promote the improvement of mechanical ventilation blood gas index and lung function index in patients with pneumocardial disease complicated with respiratory failure, shorten the time of mechanical ventilation and ICU hospitalization, prevent complications, and facilitate the rehabilitation of patients.

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更新日期/Last Update: 1900-01-01