老年患者腹部术后机械通气不同脱机方式的比较和护理  

Comparison and Nursing of Different Offline Methods of Mechanical Ventilation in Elderly Patients after Abdominal Surgery

作　　者：楼奇峰[1] 蔡丰林[1] 姚松江[1] 

机构地区：[1]杭州市第一人民医院重症监护室,杭州310006

出　　处：《解放军护理杂志》2010年第19期1470-1471,1483,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨老年患者腹部手术后采用不同脱机方式对机械通气一次性脱机成功率和脱机时间的影响。方法将92例老年腹部术后需机械通气的患者按住院单双日分为观察组48例和对照组44例,对照组采用常规的脱机模式,观察组采用直接拔管加无创机械通气辅助的方法。结果观察组一次脱机成功率为89.58%,对照组一次性脱机成功率为72.72%,两组脱机成功率差异有统计学意义(P<0.05);观察组脱机时间明显短于对照组,两组脱机时间差异有统计学意义(P<0.05)。结论采用直接拔管加无创机械通气辅助的方法可增加老年患者腹部术后机械通气脱机的成功率,缩短脱机时间。Objective To study the one-time success rate and time of offline methods of mechanical ventilation using different offline methods of in elderly patients after abdominal surgery.Methods Ninety-two elderly patients with mechanical ventilation after abdominal surgery were divided into an observational group（n=48） and a control group（n=44） according to the admission order.The patients in the control group received routine offline method.The observational group received direct extubation and non-invasive mechanical ventilation-assisted method.Results The one-time off line success rates in the observational group and the control group were 89.58% and 72.72% respectively.There were significant differences in the offline success rates between the two groups（P〈0.05）.The offline time in the observational group was significantly shorter than that in the control group（P〈0.05）.Conclusion Direct extubation and non-invasive mechanical ventilation-assisted method can increase the success offline rate in elderly patients with mechanical ventilation after abdominal surgery and decrease the offline time.

关 键 词：老年患者 腹部术后 机械通气 脱机方式 护理 

分 类 号：R473.6[医药卫生—护理学]