| 引用本文: |
杨秀琴,曹红九,黄璇.中医护理技术干预呼吸机相关性肺炎的应用评价[J].湖南中医药大学学报,2018,38(11):1316-1320[点击复制] |
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| 中医护理技术干预呼吸机相关性肺炎的应用评价 |
| 杨秀琴,曹红九,黄璇 |
| (湖北省荆州市中医医院, 湖北 荆州 434000;湖北省妇幼保健院, 湖北 武汉 430074) |
| 摘要: |
| 目的 探讨中医护理技术在呼吸机相关性肺炎（ventilator-associated pneumonia，VAP）的应用评价。方法 选取2014年9月至2017年8月荆州市中医医院收住ICU的VAP患者102例，随机分为观察组52例和对照组50例。对照组给予VAP常规治疗与护理，观察组在对照组治疗与护理的基础上给予综合中医护理，比较两组VAP患者的临床疗效、苏醒开始时间，30 d呼吸机辅助通气脱机率、30 d死亡率及治疗后两组胃肠功能障碍评分情况。结果 观察组临床疗效总有效率达86.54%，明显高于对照组64.00%，差异具有统计学意义（χ2=4.35，P=0.040）；同对照组相比，观察组平均苏醒时间明显缩短，差异具有统计学意义（χ2=-6.181，P=0.000）；治疗后观察组的病死率略小于对照组，但差异无统计学意义（χ2=0.121，P=0.728）；辅助通气脱机率观察组患者显著高于对照组，差异具有统计学意义（χ2=5.101，P=0.038）。1个疗程后胃肠功能障碍评分观察组优于对照组（χ2=4.015，P=0.045）。结论 综合应用中医护理技术干预VAP患者，能有效促进患者神经功能的修复提高治愈率，对于提高患者的临床结局和生存质量具有积极意义，是可取的途径之一。 |
| 关键词: 中医护理技术 呼吸机相关性肺炎 |
| DOI：10.3969/j.issn.1674-070X.2018.11.022 |
| 投稿时间：2018-04-03 |
| 基金项目:荆州市科学技术局科技计划项目（[2013]16号-54） |
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| Evaluation of Application of Traditional Chinese Medicine Nursing Technology in Ventilator-Associated Pneumonia |
| YANG Xiuqin,CAO Hongjiu,HUANG Xuan |
| (Jingzhou Hospital of Traditional Chinese Medicine, Jingzhou, Hubei 434000, China;Hubei Provincial Maternal and Child Health Hospital, Wuhan, Hubei 430074, China) |
| Abstract: |
| Objective To evaluate the application of traditional Chinese medicine (TCM) nursing technology in ventilator-associated pneumonia. Methods A total of 102 patients with ventilator-associated pneumonia (VAP) admitted to the Intensive Care Unit in Jingzhou Hospital of Traditional Chinese Medicine from September 2014 to August 2017 were randomly divided into observation group (52 cases) and control group (50 cases). The control group was given routine treatment and nursing for VAP. The observation group was given comprehensive TCM nursing in addition to the treatment and nursing for the control group. The clinical outcome, time to recovery of consciousness, 30-day ventilator-assisted ventilation weaning rate, 30-day mortality, and postoperative gastrointestinal dysfunction score were compared between the two groups of VAP patients. Results The observation group had a significantly higher overall response rate than the control group (86.67% vs 63.33%, χ2=4.35, P=0.040). Compared with the control group, the observation group had a significantly shortened mean time to recovery of consciousness (χ2=-6.181, P=0.000). After treatment, the mortality of the observation group was slightly lower than that of the control group; (χ2=0.121, P=0.728). The rate of weaning from ventilator-assisted ventilation was significantly higher in the observation group than in the control group (χ2=5.101, P=0.038). After one course of treatment, the gastrointestinal dysfunction score of the observation group was significantly better than that of the control group(χ2=4.015, P=0.045). Conclusion The comprehensive application of TCM nursing technology in the treatment and nursing of patients with VAP can effectively promote the recovery of neurological function and increase the cure rate. The TCM nursing technology can improve the patients' clinical outcome and quality of life, which was one of the feasible ways. |
| Key words: traditional Chinese medicine nursing technology ventilator-associated pneumonia |
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