摘要
目的探讨集束化管理对脓毒血症机械通气相关性肺炎的影响。方法实施集束化管理的机械通气脓毒血症患者88例作为观察组,常规管理患者84例作为对照组,对照组实施机械通气常规管理,观察组在对照组常规管理的基础上实施呼吸机集束干预策略。结果观察组发生机械通气相关性肺炎、机械通气时间、住监护病房时间分别为17.05%、(7.17±2.02)d、(13.37±4.26)d,明显低于对照组的33.33%、(11.88±2.98)d、(17.90±5.13)d,(P<0.05)。结论集束化管理为主动预防措施,具有针对性和目的性,有助于降低脓毒血症患者机械通气相关性肺炎发生率,从而缩短机械通气和住监护病房时间。
Objective To investigate the effect of cluster management for sepsis in ventilator associated pneumonia. Methods The implementation of cluster management of mechanical ventilation in patients with sepsis 88 cases as the observation group, routine management of patients with 84 cases as the control group, the control group implemented conventional ventilation management, the observation group implemented the following ventilator bundle in the control group based on the routine management. Results The observation group occurred ventilator-associated pneumonia, me- chanical ventilation time, intensive care unit stay were 17.05%, （7.17±2.02）d, （13.37±4.26）d,which were lower than 33.33%, （11.88±2.98） days, （17.90±5.13） days in the control group（P〈0.05）. Conclusion The cluster management to ac- tive prevention measures, targeted and purpose, can help reduce the incidence of sepsis in patients with ventilator asso- ciated pneumonia, so as to shorten the time of mechanical ventilation and staying in icu.
出处
《中国现代医生》
2015年第23期85-87,91,共4页
China Modern Doctor
基金
浙江省台州市黄岩区科技计划项目(2013059-11)
关键词
集束化管理
脓毒血症
机械通气相关性肺炎
The cluster management
Sepsis
Mechanical ventilation associated pneumonia
