Clinical effects and nursing of noninvasive positive pressure ventilation combined with oxygen driven inhalation of in COPD and respiratory failure

Objective To study on the effects and the nursing measures of noninvasive positive pressure ventilation with oxygen drive atomization inhalation in chronic obstructive pulmonary disease(COPD)and respiratory failure.Methods 60 patients with COPD and respiratory failure were randomly divided into experimental group and control group.The experimental group was treated with noninvasive positive pressure ventilation with oxygen driven inhalation therapy.The control group was treated with noninvasive positive pressure ventilation combined with conventional nebulization therapy.The life boost,blood gas analysis,pulmonary function and complications were observed.Results After treatment,heart rate(HR),respiratory rate(RR),partial pressure of carbon dioxide(PaCO2)and dyspnea index on the experimental group and control group were lower than that before treatment,and the differences were statistically significant(P0.05);after treatment,the HR,RR,PaCO2 and dyspnea index on the experimental group thewere lower than the control group after treatment,and the differences were statistically significant(P0.05);After treatment,the arterial partial pressure of oxygen(PaO2),arterial oxygen saturation(SaO2)ratio of lung function first s force respiratory volume and the predicted value(FEV1%),FEV1 and forced vital capacity ratio(FEV1/FVC)on the experimental group and the control group the were higher than that before treatment,the differenceswere statistically significant(P0.05);PaO2,SaO2,FEV1%,FEV1 and FEV1/FVC on the experimental group were higher than those of the control group after treatment,the differences were statistically significant(P0.05);during the treatment,expectoration difficulties occurred rate of the experimental group was 3.33%,sore throat,taste the incidence rate was 6.67%,lower than the control group,the differences were statistically significant(P0.05).Conclusion Noninvasive positive pressure ventilation with oxygen driven inhalation treatment can improve the effect of COPD combined with respiratory failure patients and reduce the treatment complications.