呼吸机集束干预策略在慢性阻塞性肺疾病机械通气患者中的应用

目的探讨呼吸机集束干预策略在慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)机械通气患者中的应用效果。方法按入院时间,分别选择30例AECOPD机械通气患者为干预组和对照组,干预组严格进行抬高床头等集束干预策略,对照组只进行常规护理,比较两组患者治疗效果。结果干预组通气时间、住院时间、呼吸机相关性肺炎(ventilator associated pneumonia,VAP)发生率、死亡率均低于对照组(均P<0.05)。结论对AECOPD机械通气患者进行呼吸机集束干预策略可提高患者治疗和护理质量。

Effect of intervention by ventilator bundle on mechanical ventilation in patients with acute exacerbation of chronic obstructive pulmonary disease

Objective To investigate the effect of ventilator bundle on patients with chronic obstructive pulmonary disease(AECOPD) at acute exacerbation.Methods 30 AECOPD patients receiving ventilation were equally divided into the control and intervention group.Patients in the intervention group were treated with ventilator bundle,including elevating the head of bed,performing basic nursing and preventing deep vein thrombosis.Result The duration of mechanical ventilation,length of stay in hospital,morbidity of ventilator associated pneumonia(VAP) and hospital mortality in the intervention group were significantly lower than those in the control group(P < 0.05).Conclusions Ventilator bundle could be used to reduce length of stay and cost in hospital,mortality of VAP and hospital mortality in AECOPD patients who are ventilated with.