个体化指导对慢性阻塞性肺疾病患者首次使用无创机械通气依从性的影响

Effects of individualized guidance on compliance of patients with chronic obstructive pulmonary disease using noninvasive mechanical ventilation for the first time

摘要:

目的：观察个体化指导对首次使用无创机械通气患者依从性的影响。方法：将93例慢性阻塞性肺疾病（chronic ob－structive pulmonary disease，COPD）患者随机分为对照组和观察组，对照组46人，观察组47人；对照组进行传统常规治疗，观察组在常规治疗基础上实施个体化指导。根据患者不同时段对无创呼吸机的耐受率、动脉血气结果及病人气管插管使用有创机械通气率、ICU住院天数等评价2组患者首次使用无创呼吸机的依从性。结果：对照组患者插管率为23.91%，ICU平均住院时间为（15.00±2.80） d，观察组患者插管率为8.51%，ICU平均住院时间为（9.70±2.10） d，2组患者指标差异具有统计学意义（P＜0.05）。结论：个体化指导有助于提高患者使用无创呼吸机的依从性，从而提高无创机械通气成功率。

Abstract:

Objective：To observe effects of individualized guidance on compliance of patients with chronic obstructive pulmonary dis－ease（COPD） using noninvasive mechanical ventilation for the first time. Methods：Totally 93 patients with COPD were randomized into control group（n=46） and observation group（n=47）. Patients in control group were treated with traditional routine while those in observation group were implemented by individualized guidance on the basis of conventional treatment. Evaluation was made on com－pliance of patients using noninvasive mechanical ventilation for the first time according to patients’ tolerance to noninvasive ventilator at different time periods，arterial blood gas results，invasive mechanical ventilation rate and duration in ICU. Results：Rate of intubation was 23.91% in control group and hospitalized days in control group were （15.00±2.80） d. Rate of intubation in observation group was 8.51% and hospitalized days in observation group were （9.70±2.10） d. There were significant differences between the two groups（P<0.05）. Conclusions：Individualized instruction helps to improve compliance of patients using noninvasive mechanical ventilation thus to promote noninvasive ventilation rate.