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呼吸系统衰竭的重症护理方法。

The Way of Severe Nursing of Respiratory System Failure.

机构信息

The Seventh Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.

The Office of Organ Donation and Transplant, Sun Yat-Sen University, Guangzhou, China.

出版信息

J Healthc Eng. 2021 Oct 29;2021:1667458. doi: 10.1155/2021/1667458. eCollection 2021.

DOI:10.1155/2021/1667458
PMID:34745490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8570877/
Abstract

Respiratory failure is the most common clinical symptom, seriously endangering people's health, which is mainly caused by a series of reasons, leading to serious respiratory dysfunction and severe pulmonary respiratory disorders, damaging the pulmonary airway function, and causing disability to maintain normal human gas exchange activities. At present, the main treatment of respiratory failure is to use the ventilator to help patients exchange gas and keep their breathing unobstructed. The nursing method is also around the artificial airway mechanical ventilation. The nursing of patients with respiratory failure is mainly respiratory nursing and psychological nursing. In this paper, the main research is to explore the way of severe nursing of respiratory failure. Before the nursing of respiratory failure, we should carry out nursing detection of the ventilator and test its performance, tightness, pipeline safety, and airway patency. Then carrying on the respiratory failure mechanical ventilation nursing and clarifying its mechanical ventilation nursing process is the main work of intensive care, at the same time, giving consideration to the psychological nursing of respiratory failure and implementing comprehensive nursing. In this paper, 50 patients were selected and divided into group A and group B; group A was given comprehensive nursing, and group B was given general nursing. The experimental results show that a series of situations in group A are more optimistic than those in group B. There was no doubt that the PH value of the two groups changed significantly 6 months after discharge. The pO value of group A was higher than that before discharge, while the pCO value of group B was unstable and increased. The pO value of group A was 55.52 before discharge and 62.36 six months after discharge. The pCO value of group A was 54.31 before discharge and 50.61 six months after discharge. The pCO value of group B was 55.23 before discharge and 57.34 six months after discharge.

摘要

呼吸衰竭是最常见的临床症状,严重危害人们的健康,主要是由于一系列原因导致严重的呼吸功能障碍和严重的肺部呼吸紊乱,损害肺部气道功能,导致无法维持正常的人体气体交换活动。目前,呼吸衰竭的主要治疗方法是使用呼吸机帮助患者进行气体交换,保持呼吸通畅。护理方法也是围绕人工气道机械通气展开的。呼吸衰竭患者的护理主要是呼吸护理和心理护理。本文主要研究探讨呼吸衰竭的重症护理方法。在对呼吸衰竭进行护理之前,我们应该对呼吸机进行护理检测,测试其性能、密封性、管道安全性和气道通畅性。然后进行呼吸衰竭机械通气护理,明确其机械通气护理过程是重症护理的主要工作,同时要考虑呼吸衰竭的心理护理,实施全面护理。本文选取 50 例患者分为 A 组和 B 组;A 组给予综合护理,B 组给予常规护理。实验结果表明,A 组的一系列情况均优于 B 组。毫无疑问,两组的 PH 值在出院后 6 个月均有明显变化。A 组的 pO 值高于出院前,而 B 组的 pCO 值不稳定且增加。A 组出院前 pO 值为 55.52,出院后 6 个月 pO 值为 62.36。A 组出院前 pCO 值为 54.31,出院后 6 个月 pCO 值为 50.61。B 组出院前 pCO 值为 55.23,出院后 6 个月 pCO 值为 57.34。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49cc/8570877/89b5e2b979af/JHE2021-1667458.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49cc/8570877/8e89f27a37d7/JHE2021-1667458.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49cc/8570877/c39be3015dec/JHE2021-1667458.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49cc/8570877/86f2eb4cae7a/JHE2021-1667458.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49cc/8570877/89b5e2b979af/JHE2021-1667458.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49cc/8570877/8e89f27a37d7/JHE2021-1667458.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49cc/8570877/c39be3015dec/JHE2021-1667458.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49cc/8570877/86f2eb4cae7a/JHE2021-1667458.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49cc/8570877/89b5e2b979af/JHE2021-1667458.004.jpg

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Am J Transl Res. 2021 May 15;13(5):5232-5239. eCollection 2021.
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Distinct Mechanical Properties of the Respiratory System Evaluated by Forced Oscillation Technique in Acute Exacerbation of COPD and Acute Decompensated Heart Failure.通过强迫振荡技术评估慢性阻塞性肺疾病急性加重期和急性失代偿性心力衰竭患者呼吸系统的不同力学特性。
Diagnostics (Basel). 2021 Mar 19;11(3):554. doi: 10.3390/diagnostics11030554.
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