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目的:探索机械通气患者进行早期运动的重要性以及护理对策。方法:选择2013年6月至2014年6月茂名市人民医院ICU收治的行机械通气患者作为研究对象并进行分组治疗,对照组均应用常规方式进行治疗以及护理,研究组在此基础上根据患者的具体情况进行运动疗法。将两组患者的潮气量、呼吸频率、二氧化碳分压、心率、住院时间、通气时间以及呼吸机相关性肺炎发生率等情况进行对比。结果:研究组患者住院时间、机械通气时间均显著少于对照组(P<0.05);研究组呼吸机相关性肺炎发生率为13.33%,显著少于对照组的36.67%(P<0.05)。两组患者治疗前的潮气量、呼吸频率、二氧化碳分压、心率比较,差异无统计学意义(P>0.05);治疗30 d后,两组患者各项数据均显著优于治疗前,其中研究组各项数据均优于对照组(P<0.05)。结论:针对机械通气患者进行早期运动和针对性护理,能够显著缩短机械通气时间,降低并发症发生率,具有极为重要的价值。
Objective: To explore the importance of early exercise in patients with mechanical ventilation and nursing strategies. Methods: From June 2013 to June 2014, patients undergoing mechanical ventilation in the ICU of Maoming People’s Hospital were selected as the research objects and divided into groups. The control group was treated and treated in the conventional way. On the basis of this study, The specific circumstances of exercise therapy. Tidal volume, respiratory rate, carbon dioxide partial pressure, heart rate, length of hospital stay, ventilation time, and incidence of ventilator-associated pneumonia were compared between the two groups. Results: The hospitalization time and the duration of mechanical ventilation in the study group were significantly less than those in the control group (P <0.05). The incidence of ventilator-associated pneumonia was 13.33% in the study group, which was significantly lower than that in the control group (36.67%, P <0.05). There was no significant difference in tidal volume, respiratory rate, carbon dioxide partial pressure and heart rate between the two groups before treatment (P> 0.05). After 30 days of treatment, the data of both groups were significantly better than before treatment, of which the study The data of all groups were better than those of the control group (P <0.05). Conclusion: The early exercise and targeted nursing of patients with mechanical ventilation can significantly shorten the duration of mechanical ventilation and reduce the incidence of complications, which is of great value.