辨证施护在慢性呼吸衰竭机械通气中的应用研究
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R563.8;R248

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Study on Application of Nursing Based on Syndrome Differentiation in Mechanical Ventilation of Chronic Respiratory Failure
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    摘要:

    目的:观察辨证施护在慢性呼吸衰竭机械通气中的应用效果。方法:将 100 例慢性呼吸衰竭机械通气患者按随机数字表法分为对照组和观察组,每组 50 例。对照组实施常规护理,观察组在对照组基础上进行辨证施护,2 组均护理 1 个月。比 较 2 组护理满意度、血气分析指标及脱机成功率。结果:护理后,观察组动脉血氧分压(PaO2)水平高于对照组(P<0.05),动脉血二氧化碳分压 (PaCO2) 水平及呼吸频率、心率均低于对照组 (P<0.05)。观察组护理第 10、20、30 天脱机成功率分别为20.00%、30.00%、52.00%,高于对照组的 6.00%、12.00%、30.00% (P<0.05)。观察组护理满意度为 94.00%,对照组护理满意度为 80.00%,2 组比较,差异有统计学意义(P<0.05)。结论:将辨证施护用于慢性呼吸衰竭机械通气患者中,可改善其临床症状及血气分析指标,提高脱机成功率和护理满意度。

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    Abstract: Objective: To observe the application effect of nursing based on syndrome differentiation on mechanical ventilation of chronic respiratory failure. Methods: A total of 100 cases of patients undergoing mechanical ventilation of chronic respiratory failure were randomly divided into the control group and the observation group,50 cases in each group. The control group was given routine nursing, and the observation group was additionally treated with nursing based on syndrome differentiation on the basis of treatment of the control group. Both groups were given nursing for one month. The nursing satisfaction, the blood gas analysis indexes and the weaning success rates in the two groups were compared. Results:After nursing,the level of partial pressure of oxygen(PaO2) in the observation group was higher than that in the control group(P<0.05),and the level of partial pressure of carbon dioxide(PaCO2) of arterial blood,the respiratory rate and the heart rate were lower(P<0.05). After 10, 20 and 30 days of nursing, the weaning success rates were respectively 20.00%,30.00% and 52.00% in the observation group,higher than those of 6.00%,12.00% and 30.00% in the control group(P<0.05). The nursing satisfaction was 94.00% in the observation group and 80.00% in the control group, the difference being significant(P<0.05). Conclusion: Nursing based on syndrome differentiation can improve clinical symptoms,blood gas analysis indexes,weaning success rates and nursing satisfaction for patients undergoing mechanical ventilation of chronic respiratory failure.

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潘合军.辨证施护在慢性呼吸衰竭机械通气中的应用研究[J].新中医,2021,53(7):205-208

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  • 在线发布日期: 2021-04-08
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