RICU机械通气患者序贯通气关键期的护理  

Nursing of RICU patients with mechanically ventilated in sequential ventilation critical period

作　　者：潘静亚[1] 万文霞[1] 李雪梅[1] 

机构地区：[1]江苏省常州市第一人民医院呼吸内科,江苏常州213003

出　　处：《实用临床医药杂志》2016年第22期27-29,共3页Journal of Clinical Medicine in Practice

摘　　要：目的研究RICU机械通气患者序贯通气关键期的护理方法及效果。方法选择60例机械通气患者随机分为观察组和对照组,各30例,对照组给予常规护理,观察组给予专职护理。结果观察组再插管率、VAP发生率低于对照组,抢救成功率高于对照组,差异均有统计学意义(P<0.05);观察组有创通气时间、RICU住院时间和机械通气时间短于对照组,差异有统计学意义(P<0.05)。结论在RICU机械通气患者序贯通气关键期给予专职护理,可有效改善患者通气功能,降低VAP发生率,值得推广。Objective To study nursing of RICU patients with mechanically ventilated in sequential ventilation critical period and its effect. Methods A total of 60 mechanically ventilated patients were selected and randomly divided into observation group and control group,with 30 cases in each group. Both groups were given mechanically ventilated treatment,and the control group was given conventional nursing,while the observation group was given full-time nursing. Results The reintubation rate and VAP incidence in the observation group were lower than that in the control group,the survival rate was significantly higher than that in the control group（ P 〈 0. 05）. The invasive ventilation time,ICU length of stay and duration of mechanical ventilation in the observation group were significantly shorter than that in the control group（ P 〈 0. 05）. Conclusion The full-time nursing in sequential ventilation critical period for RICU mechanically ventilated patients can effectively improve the ventilation functions,and reduce VAR incidence,so it is worthy of clinical promotion.

关 键 词：呼吸重症监护病房 机械通气 序贯通气 关键期 护理 

分 类 号：R473.5[医药卫生—护理学]