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目的观察综合护理干预在预防重症监护室(ICU)机械通气相关性肺炎的临床效果。方法选取医院ICU病房中接受机械通气的重症患者98例为研究对象,随机分为观察组和对照组,每组49例。对照组采用常规护理,观察组采用综合护理干预,观察2组患者机械通气相关性肺炎的发生率、病死率、住院时间,同时检测患者的C反应蛋白、降钙素原、白细胞计数的水平。结果观察组机械通气相关性肺炎的发生率和病死率低于对照组(P<0.05);观察组C反应蛋白、降钙素原、白细胞计数水平低于对照组,住院时间短于对照组(P<0.01)。结论对ICU接受机械通气治疗的患者实施综合护理干预,可减少相关性肺炎的发生,降低病死率,促进患者康复,缩短住院时间。
Objective To observe the clinical effect of comprehensive nursing intervention in the prevention of mechanical ventilation-related pneumonia in intensive care unit (ICU). Methods A total of 98 severe cases receiving mechanical ventilation in hospital ICU ward were selected as study subjects and randomly divided into observation group and control group, 49 cases in each group. The control group was treated with routine nursing. The observation group was treated with comprehensive nursing intervention. The incidence of mechanical ventilation-related pneumonia, case fatality rate and hospital stay were observed in both groups. The levels of C-reactive protein, procalcitonin and white blood cell count were also measured. Results The incidence and mortality of patients with mechanical ventilation-related pneumonia in the observation group were lower than those in the control group (P <0.05). The levels of C-reactive protein, procalcitonin and leucocyte in the observation group were lower than those in the control group, P <0.01). Conclusions Comprehensive nursing intervention in ICU patients receiving mechanical ventilation can reduce the incidence of related pneumonia, reduce mortality, promote patient rehabilitation and shorten the hospital stay.