COPD合并肺性脑病无创正压通气治疗的护理

摘要

目的:观察慢性阻塞性肺疾病(COPD)合并肺性脑病无创正压通气(NIPPV)治疗及护理的疗效.方法:对68例COPD合并肺性脑病患者在常规治疗基础上给予双水平无创正压通气( BiPAP)治疗,观察治疗前后患者的临床症状、动脉血气指标的变化.结果:39例6h内意识转为清楚,12例6～12 h意识转为清楚.7例13～24 h意识转为清楚.58例治疗后动脉血气指标较治疗前改善(P＜0.05),10例疗效不佳改行有创机械通气.结论:NIPPV治疗COPD并肺性脑病,能快速缓解症状,纠正呼吸衰竭,同时配合有效的护理措施,疗效肯定,值得临床推广应用.%Objective:To study the efficacy of noninvasive positive pressure ventilation ( NIPPV)in the treatment of chrorucobstructive pulmonary diseasern(COPD) combine with pulmonary encephalopathy. and cooperating the nursing care. Methods ;68 patients diagnosed as COPD combine with pulmonary en-rncephalopathy were given conventional therapy and Bi - level positive airway pressure( Bi - PAP) therapy. The clinical symptoms before and after treatment,rnarterial blood gas change were observed. Results: In 68 patients, there wens 39 patients 'awareness turning dear within 6h,12 cases within 6-12 h,7 casesrnwithin 12-24 h:after treatment,arterial blood gas targets in 58 cases were significantly improved than before treatment(P<0.05). 10 cases of poor effectrnwere diverted to the treatment of invasive mechanical ventilation. Conclusion : NIPPV treatment of COPD and pulmonary encephalopathy can quickly re -rnlieve symptoms,correct respiratory failure,and is effective and worthy of clinical application At the same time cooperating the effective nutsing care.