计划性脱机应用于机械通气患者的效果分析(1)
[摘要] 目的 探討分析计划性脱机应用于机械通气患者的效果。方法 方便选取2018年1—12月在该院重症监护室(ICU)接呼吸机进行机械通气的50例急性呼吸衰竭患者，随机分为观察组(25例)与对照组(25例)。观察组患者实施计划性脱机，对照组患者实施经验性脱机，比较两组患者开始脱机、机械通气、ICU及住院时间、住院费用、不良事件发生率、ICU病死率及住院病死率之间的差异。结果 观察组患者开始脱机时间(25.7±8.3)h短于对照组的(95.6±15.8)h(t=19.583，P=0.000)，机械通气时间(69.1±11.4)h短于对照组的(171.4±22.7)h(t=20.136，P=0.000)，ICU时间(12.4±3.2)d短于对照组的(16.1±4.9)d(t=3.161，P=0.003)，住院时间(28.0±4.3)d短于对照组的(34.3±5.7)d(t=4.412，P=0.000)，住院费用(48 590.3±9 775.1)元低于对照组的(89 747.8±12 686.7)元(t=12.849，P=0.000)，不良事件总发生率32.0%低于对照组的60.0%(χ2=3.945，P=0.047)，差异有统计学意义(P<0.05)。结论 在机械通气患者中实施计划性脱机，能有效地提高临床疗效、促进病情康复、减轻经济负担、降低不良事件发生率，临床价值显著，值得推广应用。
[关键词] 计划性脱机;经验性脱机;机械通气;重症监护;效果
[中图分类号] R563.8 [文献标识码] A [文章编号] 1674-0742(2019)12(a)-0065-03
[Abstract] Objective To explore the effect of the planned offline applied to the patients with mechanical ventilation. Methods Convenient selected 50 patients， from January to December 2018， with acute respiratory failure who underwent mechanical ventilation from the intensive care unit (ICU) of the hospital were randomly divided into observation group (25 cases) and control group (25 cases). The patients in the observation group went through planed offline， while the patients in the control group empirically offline. The patients in the two groups were compared to get the differences between them in terms of offline beginning， mechanical ventilation， ICU and hospitalization time and expenses， adverse event rate， ICU mortality and hospital mortality. Results The times of starting offline (25.7±8.3) h， mechanical ventilation (69.1±11.4)h， ICU time (12.4±3.2)d， and hospitalization time(28.0±4.3)d used by the patients of observation group were shorter than the those of control group (95.6±15.8) h (t=19.583， P=0.000)， (171.4±22.7) h (t=20.136， P=0.000)， (16.1±4.9)d (t=3.161， P=0.003)， and (34.3±5.7) d (t=4.412， P=0.000)， respectively， and hospitalization expenses (48 590.3±9 775.1) yuan was lower than the control group (89 747.8±12 686.7)yuan(t=12.849， P=0.000). The overall incidence of adverse events was 32.0% lower than that of the control group 60.0% (χ2=3.945， P=0.047)， and the differences have statistically significance (P<0.05). Conclusion Planned offline applied to patients with mechanical ventilation can effectively improve clinical efficacy， promote recovery from disease， relieve economic burden， reduce the incidence of adverse events， and have significant clinical value. So it is worthy of popularization and application., http://www.100md.com(谭计健 连运兴 陈晓芳)
[关键词] 计划性脱机;经验性脱机;机械通气;重症监护;效果
[中图分类号] R563.8 [文献标识码] A [文章编号] 1674-0742(2019)12(a)-0065-03
[Abstract] Objective To explore the effect of the planned offline applied to the patients with mechanical ventilation. Methods Convenient selected 50 patients， from January to December 2018， with acute respiratory failure who underwent mechanical ventilation from the intensive care unit (ICU) of the hospital were randomly divided into observation group (25 cases) and control group (25 cases). The patients in the observation group went through planed offline， while the patients in the control group empirically offline. The patients in the two groups were compared to get the differences between them in terms of offline beginning， mechanical ventilation， ICU and hospitalization time and expenses， adverse event rate， ICU mortality and hospital mortality. Results The times of starting offline (25.7±8.3) h， mechanical ventilation (69.1±11.4)h， ICU time (12.4±3.2)d， and hospitalization time(28.0±4.3)d used by the patients of observation group were shorter than the those of control group (95.6±15.8) h (t=19.583， P=0.000)， (171.4±22.7) h (t=20.136， P=0.000)， (16.1±4.9)d (t=3.161， P=0.003)， and (34.3±5.7) d (t=4.412， P=0.000)， respectively， and hospitalization expenses (48 590.3±9 775.1) yuan was lower than the control group (89 747.8±12 686.7)yuan(t=12.849， P=0.000). The overall incidence of adverse events was 32.0% lower than that of the control group 60.0% (χ2=3.945， P=0.047)， and the differences have statistically significance (P<0.05). Conclusion Planned offline applied to patients with mechanical ventilation can effectively improve clinical efficacy， promote recovery from disease， relieve economic burden， reduce the incidence of adverse events， and have significant clinical value. So it is worthy of popularization and application., http://www.100md.com(谭计健 连运兴 陈晓芳)