摘要
目的探讨分级肺康复护理对ICU机械通气患者脱机趋势的影响。方法将2018年5月至2019年5月广州市红十字会医院ICU入住的68例机械通气患者按照随机数字表法分为试验组和对照组各34例。对照组给予常规康复护理, 试验组在常规护理基础上实施分级肺康复护理。比较2组在浅快呼吸指数(RSBI)、氧合指数、机械通气时间、ICU住院时间、脱机成功率以及并发症发生率的差异。结果干预后第5、第7, 试验组RSBI分别为80.59 ± 5.69和75.74 ± 8.62, 低于对照组的89.54 ± 8.96和85.15 ± 9.75, 差异有统计学意义(t = 5.06、4.28, 均P<0.05)。干预后第3、5、7天, 试验组氧合指数分别为(244.82 ± 22.77)、(248.21 ± 17.49)、(263.79 ± 17.31)mmHg(1 mmHg = 0.133 kPa), 高于对照组的(137.41 ± 15.01)、(192.79 ± 15.82)、(206.26 ± 17.40)mmHg, 差异有统计学意义(t = 22.97、13.70、13.67, 均P<0.05)。试验组机械通气时间、ICU入住时间以及呼吸机相关性肺炎、深静脉血栓发生率分别为(11.29 ± 1.38)d、(12.47 ± 1.73)d和0、0, 低于对照组的(12.18 ± 1.47)d、(13.53 ± 1.62)d和11.8%(4/34)、14.7%(5/34), 差异有统计学意义(t = 2.55、2.61, χ^(2)= 4.25、5.40, 均P<0.05);试验组脱机成功率为94.1%(32/34), 高于对照组的76.5%(26/34), 差异有统计学意义(χ^(2)= 4.22, P<0.05)。结论分级肺康复护理可改善机械通气患者呼吸功能, 缩短机械通气时间和ICU住院时间, 并有效预防并发症的发生。
Objective To explore the effects of grading pulmonary rehabilitation nursing on weaning trend among patients with mechanical ventilation in ICU.Methods A total of 68 patients with mechanical ventilation from May 2018 to May 2019 in ICU of Guangzhou Red Cross Hospital were divided into the experimental group and the control group with 34 cases in each group by random digits table method.The control group was given routine rehabilitation nursing and the experimental group was given graded pulmonary rehabilitation nursing based on routine nursing.The differences between the two groups were compared in terms of rapid shallow breathing index(RSBI),oxygenation index,mechanical ventilation time,hospitalization time,success rate of weaning and incidence of complications.Results On the 5th day and the 7th day after the intervention,the RSBI were 80.59±5.69 and 75.74±8.62 in the experimental group,which were significantly lower than those in the control group(89.54±8.96 and 85.15±9.75),(t=5.06 and 4.28,both P<0.05).On the 3th,5th,7th day after the intervention,the oxygenation index were(244.82±22.77),(248.21±17.49)and(263.79±17.31)mmHg in the experimental group,which were significantly lower than those in the control group(137.41±15.01),(192.79±15.82)and(206.26±17.40)mmHg,(t=22.97,13.70,13.67,all P<0.05).The duration of mechanical ventilation,length of ICU stay and the incidence of ventilator-associated pneumonia,deep venous thrombosis were(11.29±1.38)days,(12.47±1.73)days and 0,0 in the experimental group,which were significantly lower than those in the control group(12.18±1.47)days,(13.53±1.62)days and 11.8%(4/34),14.7%(5/34).The withdrawal success rate was 94.1%(32/34)in the experimental group,significantly higher than that in the control group 76.5%(26/34),the difference was statistically significant(χ^(2)=4.22,P<0.05).Conclusions Grading pulmonary rehabilitation nursing can improve the respiratory function,shorten the time of mechanical ventilation and the length of ICU hospitalization,as well as reduce
作者
何少媚
柳双燕
He Shaomei;Liu Shuangyan(Department of ICU,Guangzhou Red Cross Hospital,Guangzhou 510000,China)
出处
《中国实用护理杂志》
2022年第11期807-811,共5页
Chinese Journal of Practical Nursing
关键词
肺康复
机械通气
呼吸功能
脱机
Pulmonary rehabilitation
Mechanical ventilation
Respiratory function
Weaning
