ICU重症气管切开机械通气患者无隙衔接护理的临床效果观察  

Clinical effect observation of seamless connection nursing in ICU patients with severe tracheotomy undergoing mechanical ventilation

作　　者：张雪英 郑燕兰 朱海引 梁华 ZHANG Xueying;ZHENG Yanlan;ZHU Haiyin;LIANG Hua(Second Affi liated Hospital of Guangdong Medical University,Zhanjiang,524000,China)

机构地区：[1]广东医科大学附属第二医院,广东省湛江市524000

出　　处：《护理实践与研究》2022年第24期3717-3719,共3页Nursing Practice and Research

摘　　要：目的探讨无隙衔接护理在ICU重症气管切开机械通气患者中的应用效果。方法按照组间基本特征具有可比性的原则,将2020年1—12月入住于医院ICU且行气管切开机械通气治疗的重症患者100例分为对照组与观察组,每组50例。对照组接受常规护理,观察组在对照组基础上接受无隙衔接护理,对两组术后并发症发生率、机械通气时间、ICU住院时间进行比较。结果观察组术后皮下气肿、血肿、支气管痉挛、切口感染发生率低于对照组,差异有统计学意义(P<0.05)。观察组机械通气时间、ICU住院时间均短于对照组,差异有统计学意义(P<0.05)。结论对ICU重症气管切开机械通气患者采用无隙衔接护理,可降低其气管切开术后并发症发生率,缩短机械通气时间、ICU住院时间。Objective To explore the application eff ect of seamless connection nursing in ICU patients with severe tracheotomy undergoing mechanical ventilation.Methods To select 100 patients with severe diseases who were admitted to ICU in hospital who were treated with tracheotomy and mechanical ventilation from January to December 2020,and they were divided into a control group and an observation group,with 50 patients in each group,according to the principle of comparability of basic characteristics between groups.The control group received routine nursing,while the observation group received seamless connection nursing on the basis of the control group.The incidence of postoperative complications,mechanical ventilation time and ICU hospitalization time were compared between the two groups.Results The incidences of subcutaneous emphysema,hematoma,bronchospasm and incision infection in the observation group were lower than those in the control group,and the diff erences were statistically signifi cant(P<0.05).The mechanical ventilation time and ICU hospitalization in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The seamless connection nursing for ICU patients with severe tracheotomy and mechanical ventilation can reduce the incidence of complications after tracheotomy and shorten the time of mechanical ventilation and ICU hospitalization.

关 键 词：无隙衔接护理 ICU 气管切开 机械通气 

分 类 号：R473.5[医药卫生—护理学]