摘要
目的探究优质护理对COPD气管插管患者预防呼吸机相关性肺炎的应用效果。方法选取120例COPD气管插管患者,采用随机数字表法随机均分为研究组与对照组各60例,对照组采用常规护理方法,研究组在常规护理方法的基础上采用优质护理,主要包括合理应用抗生素、有效排痰、消化系统交叉感染预防、降低医源性感染概率等措施。分析2组患者治疗前后的血气指数变化情况,以及2组患者的机械通气时间、住院时间、呼吸机相关肺炎发生例数。结果 2组患者治疗后血气分析指数均有较大改善;研究组患者的平均总通气时间为(8±3.5)d,对照组患者的平均总通气时间为(14±4.0)d;研究组发生呼吸机相关肺炎的患者例数为3例(5.0%),对照组发生呼吸机相关肺炎的患者例数为10例(16.67%),差异有统计学意义(P<0.05)。结论优质护理与常规护理均能有效改善患者呼吸状况,但是在对呼吸机相关性肺炎的预防以及缩短患者治疗时间的改善上,优质护理具有更好的应用效果。
Objective To explore the application effect of high quality nursing in the pre- vention of ventilator associated pneumonia in COPD patients with tracheal intubation. Methods A total of 120 patients with COPD who were treated in our hospital were randomly divided into study group and control group, the patients were randomly divided into study group and control group. Control group used conventional nursing method, the study group combined with high quality nursing on the basis of conventional nursing methods, mainly including reasonable application of antibiotics, effective drainage, cross infection prevention of digestive system, reducing the incidence of iatrogenic infection and other measures. The changes of blood gas before and after treatment in the two groups were compared and analyzed, and the mechanical ventilation time, hospitalization time, and the incidence of ventilator associated pneumonia were compared between the two groups. Results The blood gas analysis index of the two groups were improved, and the data of the two groups showed no statistically significant difference （ P 〉 0.05 ） ; The average total ventilation time of the study group was （ 8 ± 3.5 ） d, the average total ventilation time of the control group was （ 14 ± 4.0） d （ P 〈 0.05 ） ; There were 3 cases （5. 00% ） with ventilator associated pneumonia in the study group, and 10 cases （ 16.67% ） in the control group （P 〈 0. 01 ）. Conclusion High quality nursing and conventional nursing can both effectively improve the patient＇s respiratory status, but quality nursing can better prevent ventilator associated pneumonia and shorten the treatment time of patients.
出处
《实用临床医药杂志》
CAS
2016年第14期33-35,共3页
Journal of Clinical Medicine in Practice
关键词
优质护理
COPD
气管插管
呼吸机相关肺炎
high quality nursing
COPD
tracheal intubation
ventilator associated pneumonia
