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目的:探讨集束化护理管理对ICU脓毒症患者早期脱机的影响。方法:选取在浙江省常山县人民医院ICU治疗的136例脓毒症患者为研究对象,根据集束化护理管理实施前后分为两组,2014年3月实施前的68例为对照组,2014年3月实施后的68例为观察组,比较两组的干预效果。结果:观察组28d内机械通气时间为(6.12±0.54)d,脱机失败率为8.82%,均显著低于对照组(P<0.01);观察组入住ICU后6h、24h乳酸清除率分别为(37.57±7.31)%和(56.35±8.42)%,均显著高于对照组(P<0.01);观察组入住ICU 28d内死亡率为26.47%,入住ICU时间为(10.25±2.23)d,均显著低于对照组(P<0.05)。结论:集束化护理管理用于ICU脓毒症患者,有助于早期脱机,降低患者死亡率,加快患者机体恢复。
Objective: To explore the impact of intensive care management on early offline patients with ICU sepsis. Methods: 136 patients with sepsis treated in ICU of Changshan County People’s Hospital of Zhejiang Province were selected as subjects and divided into two groups before and after the implementation of cluster nursing management. Sixty-eight patients before the implementation in March 2014 were selected as the control group. 68 cases in March after the implementation of the observation group, compared the intervention effect of the two groups. Results: The duration of mechanical ventilation in the observation group was (6.12 ± 0.54) d within 28 days and the failure rate was 8.82% in the observation group, which were significantly lower than those in the control group (P <0.01) (37.57 ± 7.31)% and (56.35 ± 8.42)%, respectively, were significantly higher than those in the control group (P <0.01). The mortality rate in the ICU within 28 days was 26.47% in the observation group and 10.25 ± 2.23 days in the ICU Significantly lower than the control group (P <0.05). CONCLUSIONS: Clusterized nursing management for patients with ICU sepsis helps early off-line, reduces patient mortality and expedites patient recovery.