术前访视在心脏术后患者预防ICU综合征中的应用

Application of preoperative visit in the prevention of ICU syndrome in the patients after cardiac surgery

目的降低心脏术后患者ICU综合征的发生率。方法 76例心脏手术后患者随机分为对照组(44例)和观察(32例),对照组进行常规术前准备和宣教,观察组在此基础上进行术前访视。比较两组患者入住ICU的时间、出ICU后的住院时间,以及谵妄、思维和智力障碍、情感障碍、行为动作障碍和扮演角色障碍等ICU综合征的发生率。结果观察组患者均明显短于对照组(P<0.01),谵妄、思维和智力障碍、情感障碍、行为动作障碍和扮演角色障碍等ICU综合征发生率明显少于比对照组(P<0.05或0.01)。结论术前访视能有效缩短心脏术后患者的住院时间,降低ICU综合征的发生率,值得临床推广应用。

Objective To reduce the incidence of ICU syndrome in the patients after cardiac surgery. Methods 76 cases subject to cardiac surgery were randomly divided into Control Group（44 cases） and Observation Group（32 cases）. Control Group received routine preoperative preparation and education, while Observation Group received preoperative visit on this basis. The ICU stay, hospital stay after being moved out of ICU, as well as the incidence of ICU syndrome including delirium, thinking and mental retardation, emotional disorders, behavioral disorders and role disorders were compared between the two groups. Results Observation Group was significantly shorter than Control Group in terms of the ICU stay and hospital stay（P 0.01）, and had a significant lower incidence of ICU syndrome including delirium, thinking and mental retardation, emotional disorders, behavioral disorders and role disorders than Control Group（P〈0.05 or 0.01）. Conclusions Preoperative visit can effectively shorten the hospital stay for the patients after cardiac surgery and reduce the incidence of ICU syndrome, which is worthy of clinical application.