湖南中医药大学学报2018，Vol.38Issue(11)：1316-1320,5.DOI:10.3969/j.issn.1674-070X.2018.11.022
中医护理技术干预呼吸机相关性肺炎的应用评价
Evaluation of Application of Traditional Chinese Medicine Nursing Technology in Ventilator-Associated Pneumonia
摘要
Abstract
Objective To evaluate the application of traditional Chinese medicine (TCM) nursing technology in ventilatorassociated pneumonia. Methods A total of 102 patients with ventilator-associated pneumonia (VAP) admitted to the Intensive Care Unit in Jingzhou Hospital of Traditional Chinese Medicine from September 2014 to August 2017 were randomly divided into observation group (52 cases) and control group (50 cases). The control group was given routine treatment and nursing for VAP. The observation group was given comprehensive TCM nursing in addition to the treatment and nursing for the control group. The clinical outcome, time to recovery of consciousness, 30-day ventilator-assisted ventilation weaning rate, 30-day mortality, and postoperative gastrointestinal dysfunction score were compared between the two groups of VAP patients. Results The observation group had a significantly higher overall response rate than the control group (86.67％ vs 63.33％, χ2=4.35, P=0.040).Compared with the control group, the observation group had a significantly shortened mean time to recovery of consciousness (χ2=-6.181, P=0.000). After treatment, the mortality of the observation group was slightly lower than that of the control group; (χ2=0.121, P=0.728).The rate of weaning from ventilator-assisted ventilation was significantly higher in the observation group than in the control group (χ2=5.101, P=0.038). After one course of treatment, the gastrointestinal dysfunction score of the observation group was significantly better than that of the control group (χ2=4.015, P=0.045). Conclusion The comprehensive application of TCM nursing technology in the treatment and nursing of patients with VAP can effectively promote the recovery of neurological function and increase the cure rate. The TCM nursing technology can improve the patients' clinical outcome and quality of life, which was one of the feasible ways.关键词
中医护理技术/呼吸机相关性肺炎Key words
traditional Chinese medicine nursing technology/ventilator-associated pneumonia分类
医药卫生引用本文复制引用
杨秀琴,曹红九,黄璇..中医护理技术干预呼吸机相关性肺炎的应用评价[J].湖南中医药大学学报,2018,38(11):1316-1320,5.基金项目
荆州市科学技术局科技计划项目([2013]16号-54) （[2013]16号-54）
