严重脓毒症患者应用呼吸机集束干预策略的效果观察  

The serious pyemia patient applies the life-support machine beaming intervention strategy the effect observation

作　　者：杨彧[1] 马盈盈[1] 陈凌燕[1] 

机构地区：[1]中山大学附属第三医院,广州510630

出　　处：《按摩与康复医学》2011年第29期16-17,共2页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：探讨严重脓毒症患者实施呼吸机集束干预策略的效果.方法：选取37例自2009年4月-2010年3月在本科室住院的严重脓毒症进行呼吸机辅助通气的患者为对照组,采用常规的护理方法;39例2010年4月-2011年3月在本科室住院的严重脓毒症进行呼吸机辅助通气的患者为实验组,采用呼吸机集束干预策略.比较两组患者呼吸机相关性肺炎（Ventilator Associated Pneumonia,VAP）发生率和呼吸机辅助呼吸时间.结果：实验组患者VAP发生率和辅助呼吸的时间均低于对照组.VAP发生率两组比较,经统计学分析,P＜0.05,差异具有统计学意义.结论：严重脓毒症患者实施呼吸机集束干预策略可减少VAP的发生率.Objective： To investigate the effect of bundle care of artificial airway （BCAA） on severe sepsis. Methods： 39 patients with severe sepsis from April 2010 to March 2011 were managed by BCAA,and another 37 patients with severe sepsis from April 2009 to March 2010 as controls by traditional treatment only. The two groups were compared and analyzed statistically regarding incidence of ventilator associated pneumonia and the time of ventilation time. Results：The incidence of VAP and the time of ventila-tion between two groups were significantly different. （P 〈 0.05）. Conclusion BCAA for patients with severe sepsis may reduce th incidence of VAP and the time of ventilation. Thus it can decrease the complications and medical costs.

关 键 词：严重脓毒症 呼吸机集束干预策略 呼吸机相关性肺炎 辅助呼吸 

分 类 号：R4[医药卫生—临床医学]