RICU护理措施规范落实对气管插管患者病死率影响回顾性分析  

Retrospective analysis of the effect of clinical nursing practice on the mortality rate of chracheal intubated patients with acute exacerbation of chronic obstructive pulmonary disease in RICU

作　　者：吴美萍[1] 陆皓[1] 周晓丰[1] 

机构地区：[1]兰州军区兰州总医院呼吸内科呼吸监护室,甘肃兰州730050

出　　处：《西北国防医学杂志》2014年第2期185-187,共3页Medical Journal of National Defending Forces in Northwest China

基　　金：甘肃省科技支撑计划资助项目(1104FKCA069)

摘　　要：目的:通过对呼吸重症监护室(RICU)慢性阻塞性肺疾病急性加重期气管插管患者细菌种类变化及预后情况回顾性分析,评估护理感染控制措施的临床落实力度对细菌种类变化及病死率的影响。方法:统计12例慢性阻塞性肺疾病急性加重期经口气管插管呼吸机辅助通气患者,将其分为存活组与死亡组,通过回顾分析两组患者年龄、插管时间、病原菌种类、插管前后体温等指标,评估临床护理感控措施实施规范化落实程度对病死率的影响。结果:12例患者,存活5例,死亡7例,存活组插管后病原菌种类明显小于死亡组(1.40±2.07 vs 3.57±2.30,P<0.05),两组在气管插管时间、插管前后最高体温上无统计学差异。结论:在临床护理气管插管患者过程中,需进一步加强护理措施规范化的落实,才能有效防止感染的发生与加重,从而降低气管插管患者病死率。Objective： To evaluate the effect of clinical nursing practice on the morality rate by retrospectively analyzing the chracheal intubated patients with acute exacerbation of chronic obstructive pulmonary disease （AECOPD）. Methods： Twelve invasive patients with AECOPD were selected and divided into survival group and dead group. The age, time of intubation, sort of pathogens and the highest temperature before and after intubation for the patients were analyzed to assess the degree of clinical practice for infection control. Results： The results showed that the age of 5 survived patients was significantly younger than that of 7 dead patients in the 12 patients（63.00±10.08 vs 72.57±4.47, P〈 0.05）. The sorts of pathogens in survival group were fewer than that of the dead group（1.40 ±2.07 vs 3.57±2.30,P〈0. 05）. There was no significant difference in time of intubation, highest temperature before and after intubation. Conclusion： Strict carrying out of nursing should be performed to prevent intubated patients from worsening of infection, so as to decrease the mortality rata during the nursing.

关 键 词：护理学 气管插管 慢性阻塞性肺疾病急性加重期 

分 类 号：R472.9[医药卫生—护理学]