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国际医学与数据杂志

International Journal of Medicine and Data

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International Journal of Medicine and Data. 2022; 6: (1) ; 10.12208/ j.ijmd.20220007 .

Observation on nursing effect of ICU early Pulmonary Rehabilitation Program on severe pulmonary infection
ICU早期肺康复方案对重症肺部感染的护理效果观察

作者: 蒲彤彤 *, 秦浮娟

重庆市红十字会医院(江北区人民医院) 重庆

*通讯作者: 蒲彤彤,单位:重庆市红十字会医院(江北区人民医院) 重庆;

收录截图(CNKI-Scholar)

引用本文: 蒲彤彤, 秦浮娟 ICU早期肺康复方案对重症肺部感染的护理效果观察[J]. 国际医学与数据杂志, 2022; 6: (1) : 24-27.
Published: 2022/4/24 15:31:02

摘要

目的 对重症肺部感染采取ICU早期肺康复方案,进一步提高抢救成功率,提高患者的生存率。方法 以2021年2月到2022年1月作为本次研究时间,选择我院接收的60例重症肺部感染患者,采用盲目法分为两组,对照组30例与观察组30例,分别实施常规ICU护理与ICU早期肺康复方案,观察干预效果。结果 观察组的ICU入住时间与机械通气时间均短于对照组,两组之间相关数据比较后有明显的差异存在(P<0.05)。在血清指标中,无论是PaCO2指标上则以观察组更低,在PaO2和PaO2/FiO2指标上则以观察组高于对照组,可见组间对比存在差异,具有统计学意义(P<0.05)。结论 通过采取ICU早期肺康复方案,对重症肺部感染患者的血气指标有良好的改善效果,缩短机械通气时间,有助于患者早日康复缩短ICU入住时间。

关键词: ICU早期肺康复方案;重症肺部感染;护理效果

Abstract

Objective To adopt the early pulmonary rehabilitation program of ICU for severe pulmonary infection, to further improve the success rate of rescue and improve the survival rate of patients.
Methods From February 2021 to January 2022 as the study time, 60 patients with severe lung infection received by our hospital were selected and divided into two groups by blind method, with 30 control group and 30 observation group. Routine ICU care and ICU early lung rehabilitation program were implemented to observe the intervention effect.
Results The ICU stay and mechanical ventilation were shorter than the control group, with the significant differences between the two groups (P <0.05).In the serum index, the observation group was lower, and in the PaO2 and PaO2 / FiO2 indexes were higher than the control group, so the difference between the groups was statistically significant (P <0.05).
Conclusion   ICU can improve the blood gas index of severe lung infection patients, shorten the mechanical ventilation time and shorten the ICU admission time.

Key words: Early pulmonary rehabilitation program in icu; Severe pulmonary infection; Nursing effect

参考文献 References

[1] 傅敏,朱敏,李鲁萍,等.高压氧联合敏感抗生素支气管肺泡灌洗治疗重症颅脑损伤继发肺部感染的临床疗效[J].中华航海医学与高气压医学杂志,2019,26(2):104-107.

[2] 沈锋,吴彦其,王亚辉,等.CPIS评分指导ICU细菌性重症肺炎患者治疗能减少抗菌药物使用持续时间及使用频度[J].中华危重病急救医学,2019,31(5):556-561.

[3] 张京芬.集束化护理在重症颅脑损伤行机械通气患者中的应用效果[J].中华现代护理杂志,2018,24(20):2452-2455.

[4] 刘景刚,杨圣强,袁继印,等.经鼻高流量氧疗序贯治疗慢性阻塞性肺疾病机械通气患者的临床研究[J].中华急诊医学杂志,2019,28(4):459-462.

[5] 阮恒芳,林蓉芳,沈利平,等.ICU专科护士实施早期肺康复方案在卒中相关性肺炎患者中的效果研究[J].中国实用护理杂志,2019,35(9):654-658.

[6] 刘卫庭,姚宇.早期肺康复对慢性阻塞性肺疾病急性加重期患者肺功能及运动耐力的影响[J].中华物理医学与康复杂志,2019,41(3):213-216.

[7] 徐佳卿,张文婷,林丹舒,高莹莹. 重症肺炎机械通气患者肺康复的研究进展[J]. 中华急危重症护理杂志,2020,1(04):350-353.

[8] 谢艺妙. 早期综合康复干预对机械通气患者谵妄发生的影响[D].安徽医科大学,2021.