摘要
【摘要】 目的 研究分析重症呼吸机相关性肺炎的集束化护理预防效果。方法 68例重症患者随机分为研究组与对照组， 每组 34例。两组均施予常规护理， 研究组基于此加用集束化护理， 对比分析两组患者机械通气时间、人工气道留置时间以及呼吸机相关性肺炎发生情况。结果 研究组患者机械通气时间为（ 7.1±2.4） d， 人工气道留置时间为（ 10.1±3.6） d， 并发症发生率为 8.8%；对照组患者机械通气时间为（ 15.3±3.4） d， 人工气道留置时间为（ 20.2±5.4） d， 并发症发生率为 23.5%， 两组比较差异具有统计学意义（ P<0.05）。结论 在重症患者临床治疗和护理中采用集束化护理， 可预防和减少呼吸机相关性肺炎的发生， 缩短机械通气时间以及人工气道留置时间， 提高疗效和改善预后， 加快患者康复的速度。 【关键词】 集束化护理；呼吸机相关性肺炎；重症；预防Objective to study and analyze the preventive effect of cluster nursing on severe ventilator-associated pneumonia. Methods 68 severe patients were randomly divided into the study group and the control group, 34 cases in each group. The two groups were given routine nursing, and the study group was based on the combination of cluster nursing. The time of mechanical ventilation, the time of artificial airway retention and the incidence of ventilator associated pneumonia were compared and analyzed in the two groups. Results the time of mechanical ventilation in the study group was (7.1 + 2.4) d, the retention time of artificial airway was (10.1 + 3.6) D and the complication rate was 8.8%; the time of mechanical ventilation in the control group was (15.3 + 3.4) d, the time of artificial airway lien was (20.2 + 5.4) d, the incidence of complications was 23.5%, and the difference of group two had a series of differences. Study meaning (P<0.05). Conclusion cluster nursing in the treatment and nursing of severe patients can prevent and reduce the incidence of ventilator-associated pneumonia, shorten the time of mechanical ventilation and artificial airway, improve the curative effect, improve the prognosis and speed up the recovery of the patients.
出版日期
2019年12月17日（中国Betway体育网页登陆平台首次上网日期，不代表论文的发表时间）
