摘要：目的：评价外科重症监护室 (SICU) 无创正压通气治疗急性呼吸衰竭的疗效。方法：对40例急性呼吸衰竭患者随机分两组，实验组用无创性面罩正压通气，对照组行气管内插管正压通气，观察通气前后动脉血气分析中pH、PaO2 、PaCO2 、以及SpO2 、EpCO2的变化；观察临床症状的变化。结果：40例患者临床症状明显改善，血气分析中pH、PaO2 、PaCO2 、以及SpO2 、EpCO2等参数比较有显著性差异(P<0.05)。结论：无创正压通气是治疗急性呼吸衰竭的一种安全有效、护理人员容易掌握的方法。

    关键词：无创正压通气；重症监护室；急性呼吸衰竭；护理

    The Surgering Nursing in SICU by the Application of Non-injury Positive Pressure Ventilation

    LI Li , LIANG Rui-hua

    ( Chang'an Hospital of Dongguan City , Guangdong Dongguan 523843 , China)

    Abstract objective: To evaluate the effect of non-injury positive pressure ventilation in treating acute respiratory failure. Method: 40 cases with acute respiratory failure were divided into two groups, experiementing group applied with non-injury positive pressure ventilation by veil , comparing group with positive pressure ventilation by endotracheal intubation . Observing the changes before and after the ventilationin arterial partial pressure of oxygen (PaO2 ), PH value , arterial partial pressure of carbon dioxide ( PaCO2) the same time . and SpO2, EpCO2 , in the mean while observing the changes of clinical symptom .Result : 40 cases clinical symtom were improved obviously , There's significant difference in the parameter in pH, PaO2, PaCO2 and SpO2 , EpCO2 ( P< 0.05) . Conclusion : It's safe and easy to grasp method for the nurses to treat acute respiratory failure by non-injury positve pressure ventilation. ......