早期活动对降低ICU机械通气患者谵妄发生率的效果分析

Effect of Early Activities on Reducing the Incidence of Spasticity in Patients with Mechanical Ventilation in ICU

目的探讨ICU机械通气患者采用早期活动对降低谵妄发生率的影响。方法选取2017年1月-2018年12月期间该科收住的76例接受机械通气治疗的患者,按照双盲法分为两组,其中对照组仅予以基础护理,实验组予以基础护理联合早期活动干预,通过对比两组患者的不同机械通气点谵妄发生率、谵妄首次出现时间、持续时间、机械通气时间与ICU住院时间,评价早期活动对谵妄的影响。结果实验组机械通气72 h后谵妄发生率10.53%,低于对照组的31.58%(χ^2=5.067,P=0.024);实验组机械通气谵妄总发生率15.78%,低于对照组的52.63%低(χ^2=11.458,P=0.001);实验组谵妄首次出现时间(2.19±0.87)d,与对照组的(2.39±0.91)d相比,差异无统计学意义(t=0.979,P=0.331);实验组谵妄持续时间(1.85±0.32)d,低于对照组的(3.08±1.23)d(t=5.966,P=0.000);实验组机械通气时间与ICU住院时间分别为(3.77±1.77)d、(6.16±0.93)d,均低于对照组的(5.06±2.10)d、(8.72±1.70)d(t=2.895,P=0.005;t=3.587,P=0.006)。结论ICU机械通气患者采用早期活动,可使谵妄发生率有效降低。

Objective To investigate the effect of early activity on the incidence of delirium in ICU patients with mechanical ventilation.Methods Seventy-six patients who underwent mechanical ventilation in the department from January 2017 to December 2018 were enrolled in the study.They were divided into two groups according to the doubleblind method.The control group only received basic nursing,and the experimental group received basic nursing combined with early stage activity intervention,the impact of early activities on sputum was evaluated by comparing the incidence of different mechanical ventilation points,the first occurrence time,duration,mechanical ventilation time and ICU hospitalization time.Results The incidence of sputum in the experimental group was 10.53%after 72 hours of mechanical ventilation,which was lower than that of the control group 31.58%(χ^2=5.067,P=0.024).The total incidence of mechanical ventilation sputum in the experimental group was 15.78%,which was lower than that of the control group of52.63%(χ^2=11.458,P=0.001);the first time of the experimental group(2.19±0.87)d,no significant difference compared with the control group(2.39±0.91)d(t=0.979,P=0.331);the duration of group sputum was(1.85±0.32)d,which was lower than that of the control group(3.08±1.43)d(t=5.966,P=0.000).The mechanical ventilation time of the experimental group and the ICU hospitalization time were(3.77±1.77)d,respectively.(6.16±0.93)d,which were lower than(5.06±2.10)d and(8.72±1.70)d of the control group(t=2.895,P=0.005;t=3.587,P=0.006).Conclusion The early activities of ICU patients with mechanical ventilation can effectively reduce the incidence of sputum.