摘要
目的探讨谵妄患者中使用集束化措施治疗效果。方法回顾性收集2015年12月至2017年3月在我科住院治疗的386例谵妄病人资料,按谵妄病人是否使用集束化治疗以及是否全部使用集束化措施,将这些病人分为3组,常规治疗组,部分集束化治疗组,全部集束化治疗组。比较3组患者的ICU住院时间,昏迷持续时间,谵妄持续时间,机械通气治疗时间,年龄,病死率,重返ICU率等指标有无差异性。结果经单因素ANOVA方差分析,3组患者的ICU住院时间(F=14.649,P=0.000),谵妄持续时间(F=3.473,P=0.032),机械通气治疗时间(F=3.336,P=0.037),3个指标差异具有统计学意义。对比3个指标均值趋势图,提示全面实施集束化措施实施后ICU住院时间,谵妄持续时间,机械通气治疗时间均有明显缩短。病死率,重返ICU率有明显下降。而年龄(F=0.155,P=0.856),昏迷持续时间(F=2.490,P=0.084)两个指标差异无统计学意义。结论谵妄患者中使用集束化措施治疗,能够降低ICU住院时间,谵妄持续时间,机械通气治疗时间,病死率,重返ICU率。
Objective To explore the effect of bundles therapy on patients with delirium. Methods The data of 386 patients with delirium were retrospectively collected,who were hospitalized in ICU from December 2015 to March 2017. The patients were divided into three groups（ conventional treatment group,partial bundles therapy group,all bundles therapy group）,which was based on whether the patients with delirium were treated with bundles therapy. ICU hospitalization time,coma duration,duration of delirium,duration of mechanical ventilation,age,fatality rate,and rate of return to ICU among the three groups were compared. Results According to the analysis of univariate analysis of variance（ ANOVA）,the data of three groups were as followings： ICU hospitalization time（ F = 14. 649,P = 0. 000）,delirium duration（ F = 3. 473,P = 0. 032）,mechanical ventilation treatment time（ F = 3. 336,P = 0. 037） of patients in three groups were statistically different. Duration of hospitalization,duration of delirium,fatality rate,the rate of return to ICU and mechanical ventilation were significantly lower in bundles therapy group based on the mean trend chart of three indicators. On the contrary,there was no significant difference in age（ F = 0. 155,P = 0. 856） and coma duration（ F = 2. 490,P =0. 084）. Conclusion The use of bundles therapy in patients with delirium can reduce the length of stay in ICU,duration of delirium,duration of mechanical ventilation,fatality rate,and rate of return to ICU.
作者
罗小波
蔡昆
罗明春
LUO Xiaobo CAI Kun LUO Mingchun(Zigong Fourth People＇s Hospital of Sichuan Province, Zigong 643000 Chin)
出处
《锦州医科大学学报》
CAS
2017年第5期42-44,共3页
Journal of Jinzhou Medical University
基金
四川省医学会重症医学(新晨)专项课题,项目编号:2015ZZ002
关键词
集束化
谵妄
效果
bundles
delirium
treatment effect
