解放军护理杂志
解放軍護理雜誌
해방군호리잡지
NURSING JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2014年
24期
26-28
,共3页
振动排痰%重型颅脑损伤%呼吸机相关性肺炎生存分析
振動排痰%重型顱腦損傷%呼吸機相關性肺炎生存分析
진동배담%중형로뇌손상%호흡궤상관성폐염생존분석
vibration expectoration%severe brain inj ury%ventilator-associated pneumonia%survival analysis
目的：探讨振动排痰预防重型颅脑损伤(severe brain inj ury,SBI)患者呼吸机相关性肺炎(ventilator assoeiated pneu-monia,VAP)发生的效果.方法便利选取2011年6月至2014年5月解放军第102医院收治的155例 SBI 患者为研究对象,采用随机数字表法分为两组,对照组采用传统叩背排痰法,研究组采用振动排痰法.对两组患者进行前瞻性随访研究,随访的起点事件是应用呼吸机,终点事件为出现 VAP,截止时间是拔管后48 h或死亡.无 VAP 生存率估算应用 Kaplan-Meier法,组间生存曲线差异采用 log-rank检验.结果研究组有12例患者发生 VAP,发生中位时间为9．25(4．5~16)d；对照组有21例患者发生 VAP,发生中位时间为7．5(2~13)d.两组之间无 VAP 生存曲线差异有统计学意义(χ2＝4．712,P＝0．030).结论振动排痰能够预防 SBI患者发生 VAP,有助于改善 SBI患者的预后,提高护理效果.
目的：探討振動排痰預防重型顱腦損傷(severe brain inj ury,SBI)患者呼吸機相關性肺炎(ventilator assoeiated pneu-monia,VAP)髮生的效果.方法便利選取2011年6月至2014年5月解放軍第102醫院收治的155例 SBI 患者為研究對象,採用隨機數字錶法分為兩組,對照組採用傳統叩揹排痰法,研究組採用振動排痰法.對兩組患者進行前瞻性隨訪研究,隨訪的起點事件是應用呼吸機,終點事件為齣現 VAP,截止時間是拔管後48 h或死亡.無 VAP 生存率估算應用 Kaplan-Meier法,組間生存麯線差異採用 log-rank檢驗.結果研究組有12例患者髮生 VAP,髮生中位時間為9．25(4．5~16)d；對照組有21例患者髮生 VAP,髮生中位時間為7．5(2~13)d.兩組之間無 VAP 生存麯線差異有統計學意義(χ2＝4．712,P＝0．030).結論振動排痰能夠預防 SBI患者髮生 VAP,有助于改善 SBI患者的預後,提高護理效果.
목적：탐토진동배담예방중형로뇌손상(severe brain inj ury,SBI)환자호흡궤상관성폐염(ventilator assoeiated pneu-monia,VAP)발생적효과.방법편리선취2011년6월지2014년5월해방군제102의원수치적155례 SBI 환자위연구대상,채용수궤수자표법분위량조,대조조채용전통고배배담법,연구조채용진동배담법.대량조환자진행전첨성수방연구,수방적기점사건시응용호흡궤,종점사건위출현 VAP,절지시간시발관후48 h혹사망.무 VAP 생존솔고산응용 Kaplan-Meier법,조간생존곡선차이채용 log-rank검험.결과연구조유12례환자발생 VAP,발생중위시간위9．25(4．5~16)d；대조조유21례환자발생 VAP,발생중위시간위7．5(2~13)d.량조지간무 VAP 생존곡선차이유통계학의의(χ2＝4．712,P＝0．030).결론진동배담능구예방 SBI환자발생 VAP,유조우개선 SBI환자적예후,제고호리효과.
Objective To explore the impact of vibration expectoration on prevention of ventilator-associated pneumonia(VAP)in patients with severe brain inj ury(SBI).Methods By convenience sampling, 1 5 5 SBI patients were selected and randomly divided into control group and study group.The control group were given traditional expectoration method and the study group were given vibration expectoration method.Two groups were followed up,the start point of follow up was the application of ventilator,the end point was the incidence of VAP,and the end time was the 48 h after extubation or death.Kaplan-Meier method was used to estimate non-VAP survival rate.The survival difference between the two groups was compared using the log-rank test.Results 12 cases of the study group occurred VAP,with a median of 9.25 days (range 4.5-16 days);21 cases of the control group occurred VAP,with a median of 7.5 days (range 2-13 days).Non-VAP survival curves showed significant differences between the two groups (χ2= 4.712, P=0.030).Conclusion Vibration expectoration can prevent VAP in patients with SBI,which helps to im-prove the prognosis of SBI patients and care effect.
