中华灾害救援医学2025，Vol.12Issue(4)：377-380,4.DOI:10.13919/j.issn.2095-6274.ZHJY202503016
临床路径化干预模式对无创呼吸机治疗急性呼吸衰竭患者的效果研究
Evaluation of the Improvement of Complications in Non-invasive Ventilator Therapy in Patients with Emergency Respiratory Failure by Clinical Pathway Nursing
摘要
Abstract
Objective To explore the clinical significance of pathway-based clinical intervention measures in patients with acute respiratory failure receiving non-invasive ventilation therapy.Methods A retrospective anal-ysis was conducted on the clinical data of 60 patients with respiratory failure who received non-invasive ventilation treatment at the First Hospital of Hohhot from January 2023 to December 2024.Based on the intervention model,the patients were divided into two groups:the observation group(clinical pathway-based intervention model,n=30)and the control group(conventional intervention model,n=30).Clinical treatment-related indicators,pulmonary function parameters,blood gas parameters,and the occurrence of complications were compared between the two groups.Re-sults The observation group had significantly shorter patient-ventilator synchronization time,mechanical ventilation duration,and hospital stay compared to the control group(P＜0.001).The total hospitalization cost was also signifi-cantly lower in the observation group(P=0.038).Before intervention,there were no significant differences between the two groups in terms of forced expiratory volume in 1 second(FEV1),forced vital capacity(FVC),FEV1/FVC ratio,6-minute walk test(6MWT),arterial oxygen partial pressure(PaO2),arterial carbon dioxide partial pressure(PaCO2),or oxygen saturation(SaO2)levels(P＞0.05).After intervention,both groups showed improvements in FEV1,FVC,FEV1/FVC,6MWT,PaO2,and SaO2,and a reduction in PaCO2 levels.However,the observation group showed sig-nificantly higher levels of FEV1,FVC,FEV1/FVC,6MWT,PaO2,and SaO2 compared to the control group(P＜0.05),and significantly lower PaCO2 levels(P＜0.05).The overall incidence of complications in the observation group was significantly lower than in the control group(6.67％vs.30.00％,P＜0.05).Conclusion Clinical pathway-based intervention measures can effectively improve treatment efficiency,reduce treatment costs,enhance respiratory function and blood gas parameters,and low-er the risk of complications in patients with acute respiratory failure receiving non-invasive ventilation therapy.关键词
无创呼吸机/呼吸衰竭/临床路径化干预Key words
Non-invasive ventilation/Respiratory failure/Clinical pathway-based intervention分类
医药卫生引用本文复制引用
段秀林,郭丽花..临床路径化干预模式对无创呼吸机治疗急性呼吸衰竭患者的效果研究[J].中华灾害救援医学,2025,12(4):377-380,4.基金项目
湖南学院2022年度校级科学研究项目(2022XJ202) （2022XJ202）
