中医护理应用于呼吸机相关肺炎效果分析

An Analysis of Application of Chinese Medicine Nursing in Patients with Ventilator-Associated Pneumonia

目的:观察在常规治疗与护理基础上加用中医护理干预呼吸机相关肺炎患者的效果。方法:应用随机数字表法将106例呼吸机相关肺炎患者分为观察组及对照组各53例。2组均给予常规治疗与护理措施,观察组加予中医护理干预(按摩、穴位贴敷和中药塌渍)。2组均以7 d为1个疗程,连续干预7 d。详细记录2组患者的苏醒时间。统计30 d呼吸机辅助通气脱机率、平均住院时间、30 d病死率。对比2组患者的血气分析情况[动脉血酸碱度(pH)、动脉血氧分压(PaO2)、动脉二氧化碳分压(PaCO2)及血氧饱和度(SaO2)]。比较2组的临床疗效。结果:干预后,观察组总有效率96.23%,对照组总有效率81.13%,2组比较,差异有统计学意义(P<0.05)。观察组苏醒时间早于对照组,30 d呼吸机辅助通气脱机率高于对照组,30 d病死率低于对照组,平均住院时间短于对照组,差异均有统计学意义(P<0.05)。观察组pH、PaO2及SaO2均高于对照组,PaCO2低于对照组,差异均有统计学意义(P<0.05)。结论:在常规治疗与护理基础上加用按摩、穴位贴敷和中药塌渍对呼吸机相关肺炎患者进行干预,不仅可提高临床疗效,加快苏醒,促进肺换气功能及酸碱平衡状态恢复,还可有效减少并发症的发生,利于患者预后。

Objective:To observe the effect of the intervention of Chinese medicine nursing on patients with ventilatorassociated pneumonia based on the routine treatment and nursing. Methods: A total of 106 patients with ventilatorassociated pneumonia were divided into the observation group and the control group according to the random number table method, 53 cases in each group. Both groups were given routine treatment and nursing measures, and the observation group was additionally given Chinese medicine nursing(massage,point application and collapse treatment). Both groups were treated for one course of seven days. The waking time of patients in the two groups was recorded in detail. The ventilatorassisted ventilation removal rate,the mean length of hospital stay and the 30-day mortality were calculated. The analysis of blood gas including arterial potential of hydrogen(pH), arterial partial pressure of oxygen(PaO2), arterial partial pressure of carbon dioxide(PaCO2) and blood oxygen saturation(SaO2) as well as the clinical effect in the two groups were compared.Results:After intervention,the total effective rate was 96.23% in the observation group and 81.13% in the control group,the difference being significant(P<0.05). The waking time in the observation group was earlier than that in the control group;the ventilator-assisted ventilation removal rate in the observation groups was higher than this in the control group,the 30-day mortality in the observation group was lower than this in the control group,and the the mean length of hospital stay was shorter than that in the control group, differences being significant(P<0.05). The levels of pH, PaO2 and SaO2 in the observation group were higher than those in the control group,the level of PaCO2 in the observation group was lower than that in the control group,differences being significant(P<0.05). Conclusion:The additional application of Chinese medicine nursing(massage, point application and collapse treatment) based on the routine treatment and nursing for patients with ventilator-associated pneumonia, can not only improve the clinical effect, speed up the analepsia time, promote the pulmonary ventilation function and restore the acid-base balance state, but also effectively reduce the occurrence of complications,which is conducive to the prognosis of patients.