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目的分析精细化护理在老年重症呼吸衰竭患者中的应用效果。方法选取2015年5月—2016年5月随州市中心医院收治的老年重症呼吸衰竭患者120例,采用随机数字表法分为对照组和观察组,每组60例。对照组患者采用常规护理,观察组患者在常规护理基础上采用精细化护理。比较两组患者护理前后pH值、动脉血氧分压(PaO_2)、动脉血二氧化碳分压(PaCO_2)及生活质量评分。结果护理前两组患者pH值、PaO_2、PaCO_2比较,差异无统计学意义(P>0.05);护理后观察组患者pH值、PaO_2高于对照组,PaCO_2低于对照组(P<0.05)。护理前两组患者生活质量评分比较,差异无统计学意义(P>0.05);护理后观察组患者生活质量评分高于对照组(P<0.05)。结论精细化护理可有效改善老年重症呼吸衰竭患者临床症状,提高患者生活质量,应用效果良好。
Objective To analyze the effect of intensive care on senile patients with severe respiratory failure. Methods 120 elderly patients with severe respiratory failure admitted to Suizhou Central Hospital from May 2015 to May 2016 were randomly divided into control group and observation group with 60 cases in each group. Patients in the control group were treated with routine care, and patients in the observation group were treated with meticulous care on the basis of routine care. The pH value, PaO_2, PaCO_2 and quality of life before and after treatment were compared between the two groups. Results There was no significant difference in pH, PaO_2 and PaCO_2 between the two groups before nursing (P> 0.05). After treatment, the PaO_2 in the observation group was higher than that in the control group and PaCO_2 was lower than that in the control group (P <0.05). There was no significant difference in quality of life between the two groups before nursing (P> 0.05). The scores of quality of life in the observation group after nursing were higher than those in the control group (P <0.05). Conclusion The intensive care can effectively improve the clinical symptoms of elderly patients with severe respiratory failure and improve the quality of life of patients with good effect.