计划性脱机与经验性脱机在ICU脑出血患者中的应用比较  

Comparison of planned offline and empirical offline in ICU patients with cerebral hemorrhage

作　　者：杨鑫 杨金连 符会涛[1] 蒲昆鹏 YANG Xin;YANG Jinlian;FU Huitao;PU Kunpeng(Department of Critical Medicine,Bozhou People′s Hospital,Anhui Province,Bozhou236800,China)

机构地区：[1]安徽省亳州市人民医院重症医学科,安徽亳州236800

出　　处：《中国医药导报》2020年第22期90-93,共4页China Medical Herald

摘　　要：目的比较计划性脱机与经验性脱机在重症监护室(ICU)脑出血患者中的应用效果。方法选取安徽省亳州市人民医院ICU 2018年1月—2019年12月收治的脑出血患者150例,按随机等分法分为经验组与计划组,每组75例。经验组采用经验性脱机,计划组采用计划性脱机。比较两组脱机成功率、通气时间及住院时间,统计两组并发症发生率。结果计划组预计脱机时的机械通气时间、全过程机械通气时间、ICU入住时间以及住院时间短于经验组,脱机成功率、脱机耐受率均高于经验组,并发症总发生率低于经验组,差异有统计学意义(P<0.05)。结论与经验性脱机比较,计划性脱机的并发症发生率低,脱机成功率高,值得推广。Objective To compare the effect of planned offline and empirical offline in patients with intensive care unit(ICU)cerebral hemorrhage.Methods A total of 150 patients with cerebral hemorrhage who admitted to the ICU of Bozhou People′s Hospital from January 2018 to December 2019 were selected and they were divided into the experience group and the planning group according to the random equalization method,with 75 cases in teach group.The experience group adopted experiential offline while the planning group adopted planned offline.The success rate,ventilation time and hospitalization time of the two groups were compared,and the incidence of complications was counted.Results In the planning group,the estimated mechanical ventilation time,full-process mechanical ventilation time,ICU stay time,and hospital stay were shorter than those in the experience group.The success rate and tolerance rate of the offline group were higher than those in the experience group.The total incidence of complications rate was lower than the experience group,and the difference was statistically significant(P<0.05).Conclusion Compared with empirical offline,the complication rate of planned offline is low,and the success rate of offline is high,which is worthy of promotion.

关 键 词：计划性脱机 经验性脱机 重症监护科 脑出血 

分 类 号：R000[医药卫生]