摘要
目的探讨基于风险评分标准的气道分级管理在普通病区重型/危重型新型冠状病毒肺炎(新冠肺炎)患者中的应用效果。方法选取2020年2月19日至2020年4月5日收治的临床分型为重型/危重型的101例新冠肺炎患者为研究对象,设A病区为对照组(47例),B病区为研究组(54例)。对照组实施常规的气道管理模式,研究组实施基于风险评分的气道分级管理模式,比较两组患者气道风险、相关并发症发生及预后情况。结果研究组气道风险及相关并发症总发生情况、机械通气治疗时间及住院时间均低于对照组,差异有统计学意义(P<0.05)。结论通过建立重型/危重型新冠患者气道风险评分标准,确定气道风险等级,针对性地进行气道分级管理,可以有效地降低气道相关并发症发生率,改善预后。
Objective To investigate the application effect of airway grading management based on risk score standard in general wards in the patients with severe/critical new type coronavirus pneumonia(COVID 19).Methods A total of 101 cases of COVID 19 clinically classified as severe or critical type served as the research subjects.The wards A was set as the control group(n=47)and the wards B as the study group(n=54).The control group implemented the conventional airway management mode,while the study group conducted the airway grading management based on the risk score.The airway risk,occurrence of related complications and prognosis were compared between the two groups.Results The airway risk,total occurrence situation of related complications,time of mechanical ventilation treatment and hospital stay time in the study group were lower than those in the the control,and the differences were statistically significant(P<0.05).Conclusion Establishing the airway risk score standard in the patients with severe/critical COVID 19,confirming the airway risk grade and conducting the targeted airway grading management can effectively reduce the incidence rate of airway related complications and improve the prognosis.
作者
吴红梅
宋彩萍
罗春梅
李华军
张荷连
刘刚
WU Hongmei;SONG Caiping;LUO Chunmei;LI Huajun;ZHANG Helian;LIU Gang(PLA Institute of Respiratory Medicine,Second Affiliated Hospital of Army Military Medical University,Chongqing 400037,China;Department of Hospital Affairs,Second Affiliated Hospital of Army Military Medical University,Chongqing 400037,China;Department of Orthopedics,Second Affiliated Hospital of Army Military Medical University,Chongqing 400037,China)
出处
《重庆医学》
CAS
2020年第24期4158-4162,共5页
Chongqing medicine
