ViSi Mobile无线监护仪生命体征连续监测在高龄髋部骨折患者围术期不良事件中的应用  

The application of continuous monitoring of vital signs of ViSi Mobile wireless monitor in adverse events of perioperative period of aged patients with hip fracture

作　　者：陈宏如 李萍 陈少婷 庄华敏 郑移真 CHEN Hong-ru;LI Ping;CHEN Shao-ting(The Second Section of Orthopedics Department,The 910th Hospital of People’s Liberation Army Joint Service Support Force,Quanzhou 362000,China)

机构地区：[1]解放军联勤保障部队第910医院骨二科,福建泉州362000

出　　处：《中国医学装备》2020年第6期42-45,共4页China Medical Equipment

摘　　要：目的:探讨ViSi Mobile无线监护仪生命体征连续监测在高龄髋部骨折患者围术期不良事件中的应用价值。方法:选取医院收治的128例高龄髋部骨折患者,根据患者和家属意愿将其分为无线监测组(70例)和对照组(58例);无线监测组采用ViSi Mobile无线监护仪进行24 h生命体征连续监测,护士站终端根据改良早期预警评分(MEWS)进行不良事件干预;对照组由护士每隔2 h到患者床旁手动测量并观察监测患者生命体征,MEWS后进行不良事件干预。记录并分析比较两组常规不良事件例数与次数、严重不良事件例数与次数和死亡例数、卧床和下床时的不良事件次数以及医护人员异常处理次数。结果:无线监测组常规不良事件发生15例,低于对照组的58例,差异有统计学意义(x^2=15.021,P<0.05);而严重不良事件方面,无线监测组跌倒、呼吸衰竭及昏迷休克发生风险均低于对照组,差异有统计学意义(x^2=4.983,x^2=6.280,x^2=4.983;P<0.05);无线监测组不良事件主要发生在下床时间段,占77.3%;对照组卧床和下床时间段不良事件发生率分别为48.1%和51.9%,两组间比较差异无统计学意义;无线监测组医护人员介入异常处理成功率为90.5%(210次/232次);对照组医护人员介入异常处理成功率仅为5.8%(8次/137次),两组比较差异有统计学意义(x^2=255.471,P<0.01)。结论:ViSi Mobile无线生命体征连续监测,可有效减少高龄髋部骨折患者围术期不良事件的发生率,但对不良事件发生前的异常数据分析尚需进一步研究。Objective:To investigate the application of continuous monitoring of vital signs of ViSi Mobile wireless monitor in adverse events of perioperative period of aged patients with hip fracture.Methods:128 aged patients with hip fractures were selected.And they were divided into wireless monitoring group(70 cases)and control group(58 cases)according to intentions of patients and their family members.Patients of wireless monitoring group were implemented continuous monitoring of vital signs within 24h by using ViSi Mobile wireless monitor,and the terminal of nurse station carried out intervention for adverse event according to modified early warning score(MEWS).And the vital signs of patients of control group were monitored by observing at intervals of 2h and they received intervention for adverse events after MEWS.The cases and times of routine adverse events,and those of serious adverse event and the cases of death,and the times of adverse events in bed and out of bed,and the times of exception handling of paramedics between two groups were recorded and compared.Results:The incidence of routine adverse event of wireless monitoring group(15 cases)was significantly less than that of control group(58 cases)(x^2=15.021,P<0.05).On the aspect of serious adverse events,the occurred risks of tumble,respiratory failure and coma and shock of wireless monitoring group were significantly lower than those of control group(x^2=4.983,x^2=6.280,x^2=4.983,P<0.05).The adverse events of wireless monitoring group mainly occurred in the time segment out of bed(77.3%),and the incidences of adverse events at the time segment in bed and out of bed were 48.1%and 51.9%,respectively,and the differences of that between two groups were no significant.The success rate of exception handling of the intervention of paramedics of wireless monitoring group was 90.5%(210 times/232 times),and that of control group was 5.8%(8 times/137 times),and the difference of success rate between the two groups was significant(x^2=255.471,P<0.01).Conclusion:The con

关 键 词：高龄 髋部骨折 不良事件 生命体征 连续监测 无线监护 

分 类 号：R197.39[医药卫生—卫生事业管理]