早期分阶段综合性肺康复措施在颈髓损伤机械通气患者中的应用研究

发布时间：2019-06-01 10:56

【摘要】：目的探讨早期分阶段综合性肺康复措施对颈髓损伤需使用机械通气患者的作用。方法选取2015年1至12月收治的颈髓损伤患者作为对照组,采用常规护理措施;选取2016年1至12月收治的颈髓损伤患者作为治疗组,采取早期分阶段综合性肺康复措施。比较两组患者在使用呼吸机时间、总住院时间、肺部感染率的差异。结果对照组使用呼吸机时间为(13.98±11.11)d,治疗组为(7.23±4.94)d,比较差异有统计学意义(P0.01);对照组总住院时间为(25.10±16.98)d,治疗组为(16.26±6.41)d,比较差异有统计学意义(P0.05);对照组肺部感染率76.19%,治疗组为52.38%,比较差异有统计学意义(P0.01)。结论早期分阶段综合性肺康复措施可以缩短颈髓损伤机械通气患者呼吸机使用时间、总住院时间,降低肺部感染率。
[Abstract]:Objective to investigate the effect of early phased comprehensive lung rehabilitation on patients with cervical spinal cord injury who need mechanical ventilation. Methods the patients with cervical spinal cord injury from January to December 2015 were selected as the control group and the patients with cervical spinal cord injury from January to December 2016 as the treatment group. The differences of ventilator time, total hospitalization time and pulmonary infection rate between the two groups were compared. Results the time of ventilator use in the control group was (13.98 卤11.11) days, and that in the treatment group was (7.23 卤4.94) days, the difference was statistically significant (P 0.01). The total hospitalization time was (25.10 卤16.98) days in the control group and (16.26 卤6.41) days in the treatment group, the difference was statistically significant (P 0.05). The pulmonary infection rate was 76.19% in the control group and 52.38% in the treatment group, the difference was statistically significant (P 0.01). Conclusion early phased comprehensive lung rehabilitation measures can shorten the use time of ventilator, total hospitalization time and reduce pulmonary infection rate in patients with cervical spinal cord injury.
【作者单位】：第三军医大学大坪医院野战外科研究所护理部;解放军总医院第一附属医院护理部;
【基金】：第三军医大学大坪医院护理科研基金(HLKYJJ2014001)
【分类号】：R651.2

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