摘要
[目的]探讨优质护理在重症监护病房(ICU)呼吸机相关性肺炎(VAP)病人中的应用。[方法]将ICU中治疗的72例机械通气病人随机分为观察组和对照组各36例,观察组病人给予优质护理,对照组病人给予常规护理。比较两组病人治疗过程中VAP的发生率,病人急性生理功能和慢性健康状况评分系统Ⅱ(APACHEⅡ)评分、机械通气时间、ICU治疗时间以及相关炎性因子白细胞计数(WBC)、C反应蛋白(CRP)、降钙素原(PCT)水平。[结果]治疗过程中观察组病人VAP发生率低于对照组(P<0.05);观察组病人APACHEⅡ评分、机械通气时间、ICU治疗时间低于对照组(P<0.05);治疗后观察组病人相关炎性因子WBC、CRP、PCT的表达水平低于对照组(P<0.05)。[结论]优质护理有利于降低ICU病人VAP的发生率、改善病人的临床症状、降低炎性因子、提高病人抵抗力。
Objective：To probe into the application of high quality nursing for patients with ventilator associated pneumonia （VAP） in intensive care unit （ICU）. Methods： A total of 72 patients with mechanical ventilation in ICU were randomly divided into observation group and control group,36 cases in each. The patients in observation group received the high quality nursing, while the patients in control group received the routine nursing. The incidence of VAP, patients acute physiology and chronic health evaluation II（APACHE II） score, mechanical ventilation time,ICU treatment time and related inflammatory factors： white blood cell （WBC） count,C reactive protein （CRP） and procalcitonin （PCT） level of patients in both groups in the process of treatment were compared. Results：During the treatment,the incidence of VAP of patients in observation group was lower than that in control group （P〈0.05） ; the patients APACHE Ⅱ score, mechanical ventilation time, ICU treatment time in observation group were lower than that in control group （P〈0. 05） ;the patients expression level of the related inflammatory factors including WBC,CRP, PCT in observation group after treatment was lower than that in control group（P〈0.05）. Conclusion：The high quality nursing is helpful to reduce the incidence of VAP of patients in ICU,improve the patients clinical symptoms, reduce the inflammatory factors and improve their resistance.
出处
《全科护理》
2015年第13期1166-1168,共3页
Chinese General Practice Nursing
关键词
呼吸机相关性肺炎
优质护理
重症监护病房
ventilator associated pneumonia
high quality nursing
intensive care unit
