肺康复护理结合无创通气对肺尘埃沉着病合并呼吸衰竭康复效果的影响

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Abstract Objective To explore the effect of pulmonary rehabilitation nursing combined with noninvasive ventilation on the rehabilitation of pneumoconiosis complicated with respiratory failure.Methods A total of 80 patients with pneumoconiosis complicated with respiratory failure in Shaoguan Occupational Disease Prevention and Control Hospital from August 2019 to August 2020 were selected and divided into study group(40 cases)and control group(40 cases)by the random number table method.Both groups were treated with cough relieving,phlegm-reducing,antiasthmatic,anti-pulmonary fibrosis and other drugs.The control group was treated with non-invasive ventilator assisted breathing therapy and routine nursing,while the research group was treated with lung rehabilitation nursing on the basis of non-invasive ventilation treatment.The improvement of arterial partial pressure of oxygen(PaO2)and partial pressure of carbon dioxide(PaCO2)in the two groups were compared.The changes of exercise ability,fractional inspiratory time(Ti/Ttot)and shallow rapid-breathing index(f/VT)of respiratory muscle endurance indexes in the two groups were evaluated by ventilator and 6 min walking ability test,and the changes of quality of life were investigated by St.George′s respiratory questionnaire(SGRQ).Results There was no significant difference in PaO2 and PaCO2 between the two groups before intervention(P>0.05),PaO2 in the two groups after intervention were higher than that before intervention,PaCO2 in the two groups after intervention was lower than that before intervention,the differences were statistically significant(P<0.05),and PaO2 in the research group was higher than that in the control group,PaCO2 in the research group was lower than that in the control group,with statistical significance(P<0.05).There was no significant difference in 6 min walking distance,Ti/Ttot and f/VT between the two groups before intervention(P>0.05).After intervention,the 6 min walking distance and f/VT in both groups were higher than those before intervention,while the Ti/Ttot was lower than that before intervention,the differences were statistically significant(P<0.05).The 6 min walking distance and f/VT in the research group were higher than those in the control group,while the Ti/Ttot was lower than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in SGRQ score between the two groups before intervention(P>0.05).The SGRQ score of the two groups after intervention was lower than that before intervention,the difference was statistically significant(P<0.05).The SGRQ score of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion The application of pulmonary rehabilitation nursing combined with noninvasive ventilation can improve the rehabilitation effect of patients with pneumoconiosis complicated with respiratory failure,improve the respiratory function of patients,relieve the symptoms of dyspnea,and enhance the exercise ability and quality of life of patients.

Key words： Pulmonary rehabilitation nursing Noninvasive ventilation Pneumoconiosis Respiratory failure Rehabilitation effect

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	YANG Yan-qin

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YANG Yan-qin. Effect of lung rehabilitation nursing combined with noninvasive ventilation on the rehabilitation of pneumoconiosis complicated with respiratory failure[J]. 中国当代医药, 2021, 28(18): 252-255.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I18/252

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