程序化撤机在机械通气重症脑卒中患者中的应用

发布时间：2018-03-21 18:30

本文选题：机械通气　切入点：呼吸机撤离方法　出处：《山东医药》2017年43期 　论文类型：期刊论文

【摘要】：目的观察程序化撤机在机械通气(MV)重症脑卒中患者中的应用效果。方法接受MV治疗的重症脑卒中患者65例,呼吸机撤机过程中采用程序化撤机方法撤机者35例(程序组),采用经验性撤机方法撤机者30例(经验组)。对比观察两组的撤机成功率、MV时间、住ICU时间、气管切开率、呼吸机相关性肺炎(VAP)发生率。结果程序组、经验组撤机成功率分别为68.6%(24/35)、33.3%(10/30),两组相比,P0.01;程序组、经验组总MV时间分别为(363.400±48.223)h、(441.200±85.810)h,两组相比,P0.01;程序组、经验组住ICU时间分别为(22.143±2.088)、(28.567±3.048)d,两组相比,P0.01;程序组、经验组气管切开率分别为51.4%(18/35)、63.3%(19/30),两组相比,P0.05;程序组、经验组VAP发生率分别为8.6%(3/35)、40.0%(12/30),两组相比,P0.01。结论对于接受MV治疗的重症脑卒中患者,呼吸机撤机时,与经验性撤机方法相比,采用程序化撤机方法,撤机成功率高,MV时间、住ICU时间缩短,VAP发生率降低。
[Abstract]:Objective to observe the effect of programmed withdrawal in patients with severe cerebral apoplexy during mechanical ventilation (MV). Methods 65 patients with severe stroke were treated with MV. In the process of ventilator weaning, there were 35 cases (program group) and 30 cases (experience group) with routine weaning method (program group) and 30 cases (experience group). The success rate of weaning was compared with that of MV time, ICU duration and tracheotomy rate in the two groups. Results the successful rate of weaning in the program group and the experience group was 68.6%, respectively, compared with P0.01 in the two groups, and the total MV time in the program group was 363.400 卤48.223 h, 441.200 卤85.810 h, respectively, compared with P0.01 in the program group, and in the program group, the total MV time in the experience group was 441.200 卤85.810 h, P 0.01; in the program group, the total MV time in the experience group was 363.400 卤48.223 h, respectively, and the difference between the two groups was P 0.01. The ICU duration in the experience group was 28.567 卤3.048 days, which was 28.567 卤3.048 days, respectively. In the program group, the tracheotomy rate in the experience group was 51.4% / 35 / 35, respectively, compared with that in the control group (P 0.05). In the program group, the incidence of VAP in the experience group was 8.6T / 335 / 40.05, compared with that in the two groups (P 0.01.Conclusion for the patients with severe stroke treated with MV, the incidence of VAP in the experience group was 8.6R / 335g / 40.020, P 0.01.Conclusion for the patients with severe stroke treated with MV, Compared with the empirical method, the successful rate of ventilator withdrawal was higher than that of the empirical method, and the incidence of ICU was decreased.
【作者单位】：河北大学;河北大学附属医院;
【基金】：河北省医学适用技术跟踪项目(2015-G2015053)
【分类号】：R743.3

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