Application of intensive care in patients with acute exacerbation of chronic obstructive pulmonary disease complicated with type 2 respiratory failure

Objective To analyze the effects of intensive care on patients with chronic obstructive pulmonary disease complicated with type 2 respiratory failure. Methods A total of 110 patients with chronic obstructive pulmonary disease complicated with type 2 respiratory failure who were admitted to the respiratory department of our hospital from January 2017 to May 2018 were selected. Patients in the control group were given routine nursing care while patients in the observation group were given intensive nursing intervention. The changes of clinical symptoms, lung function and blood gas indexes before and after the nursing intervention of the two groups were compared, and the incidence of complications during the nursing period of the two groups were calculated. Results Before nursing intervention, there was no statistically significant difference in pulmonary function and blood gas indexes between the two groups (all P>0.05). After nursing intervention, patients in the observation group were significantly shorter than those in the control group in terms of the duration of pulmonary murmur disappearance (all P<0.05). After the intervention, the indicators of lung function FEV1, FVC and FEV1/FVC in the observation group were significantly better than those in the control group (all P<0.05). The improvement of blood gas index pH value, oxygen partial pressure (PaO₂), carbon dioxide partial pressure (PaCO₂) in the observation group was superior to the control group (all P<0.05). During the nursing period, patients in the two groups had different degrees of complications, but the incidence of aspiration, aspiration pneumonia and oropharyngeal discomfort in the observation group was significantly lower than that in the control group (all P<0.05). Conclusion The application of intensive care in patients with chronic obstructive pulmonary disease complicated with type 2 respiratory failure can improve the pulmonary function, improve the blood and gas index and reduce the incidence of complications, which is worthy of clinical application.