目的观察护理干预对减少布地奈德雾化吸入后并发口腔疾患的效果。方法选取我院呼吸科100例哮喘以及慢性咳喘急性发病期的患者,分为对照组和观察组各50例,对观察组患者实施雾化吸入后床旁监督其正确漱口,对照组只告知正确的漱口方法而不进行床旁监督。结果观察组发生口腔疾患的有2例,对照组有9例,两组比较差异有显著性意义。结论护理干预可有效减少布地奈德雾化吸入后患者并发口腔疾患。

Objective To explore the noninvasive ventilation type merger of respiratory failure in clinical application value.Method 68 subjects with type in respiratory failure patients were randomly divided into observation group and controlgroup,each group of 34 patients in the control group with conventional treatments to fight infection,smoothing asthma oxygen nasal catheter atomization inhalation back row buckle the treatment such as phlegm;the observation group with conventional drugs,noninvasive positive pressure ventilation treatment. Results 2 groups of patients before treatment and the basis of flesh index difference was statistically significant(P>0.05)after the treatment group(RR) breathing heart rate(HR) blood oxygen partial pressure (pH PaO2) carbon dioxide points pressure (PaCO2) were markedly improved,and no significant effect of circulation system.The observation group often in the patients with conventional treatment blood gas analysis does not change significantly.Conclusion Noninvasive ventilation in treatment of acute exacerbations of concurrent type respiratory failure can obviously increase PaO2 reduce PaCO2 ,improve the body of oxygen and acidosis,is a kind of effective method.

目的:探讨无创正压通气对煤工尘肺稳定期患者的康复作用.方法:采用自身及组间对照法,测定煤工尘肺患者使用BiPAP呼吸机辅助通气3周前后的肺通气功能、动脉血气分析、生存质量评估、6min步行距离、左膈肌最大移动度等变化情况,以评价该治疗对煤工尘肺患者的康复作用.结果:该治疗能减轻患者的呼吸困难,增加运动耐力,但对患者肺通气功能、膈肌移动度及生存质量评估影响不大.结论:无创正压通气治疗对煤工尘肺患者有一定的康复作用.

目的对煤工尘肺患者进行健康教育,减少并发症,提高生活质量.方法回顾性分析煤工尘肺病人350例患者的资料.结果煤工尘肺继发感染复发住院率减低对煤工尘肺有关知识的知晓率提高.结论对煤工尘肺病人进行健康教育收到较好的效果.

自1998～1999年,煤工尘肺并发感染住院患者10例,均为男性,年龄64～82岁.因反复住院,四肢浅表静脉穿刺困难,行深静脉(锁骨下静脉)置管治疗.一般在2个月左右,其中1例因煤工尘肺并发肺部感染,并存高血压、脑梗死后遗症、双下肢闭塞性脉管炎等症,瘫痪在床,深静脉置管长达10个月之久.

对于吸入支气管扩张剂对支气管哮喘、COPD患者肺通气功能的改善作用,近年来国内外均有很多报道,但吸入支气管扩张剂对煤工尘肺患者肺通气功能影响的报道较少.为此,我们使用沙丁胺醇和溴化异丙托品作为吸入剂,观察β2受体激动剂、M受体拮抗剂对Ⅱ期煤工尘肺患者通气功能的影响.

目的了解中年急性心肌梗死(AMI)患者普遍伴有焦虑反应发生的原因.方法采有问卷调查法,将结果进行统计评分.结果中年AMI焦虑与应激、疼痛、心理因素、家庭因素、环境因素、药物因素等关系密切.结论 AMI作为一种应激源可导致焦虑反应的发生,严重的焦虑不仅可使AMI症状加重,还可导致心率加快、心律失常、心衰甚至猝死.它们之间互为因果,相互影响,形成恶性循环.