消化道护理在脑卒中呼吸机相关性肺炎患者中应用效果.docVIP

消化道护理在脑卒中呼吸机相关性肺炎患者中应用效果 　　[摘要] 目的 研究消化道护理在脑卒中呼吸机相关性肺炎患者中的应用效果。 方法 选取2012年2月～2014年1月来我院治疗的脑卒中患者60例，按照入院先后顺序将其分成A、B两组。其中2012年2月～2013年1月接受治疗的30例患者作为A组，采取常规的护理方案；2013年2月～2014年1月接受治疗的30例患者作为B组，在常规的护理模式上加强消化道护理。评价分析A、B两组患者的护理效果。 结果 相对于A组，B组患者在机械通气时间、住院时间上显著缩短，在VAP的发生率、病死率上显著降低，差异具有统计学意义（P0.05）；相对于A组，B组患者在护理满意度、日常生活能力（ADL）评分上表现出显著的优势，差异具有统计学意义（P0.05）。 结论 对于脑卒中患者，采取加强消化道护理的方案，能够有效缩短患者的机械通气时间与住院时间，降低患者的VAP发生率与病死率，改善患者的精神状态，提高患者的日常生活能力。 　　[关键词] 脑卒中；呼吸机；肺炎；消化道?o理；机械通气 　　[中图分类号] R472.9 [文献标识码] A [文章编号] 2095-0616（2017）09-100-03 　　Application effect of digestive tract nursing in stroke patients with ventilator-associated pneumonia 　　ZHANG Jie ZHAO Xinxin HE Ying WANG Xiujie 　　Digestive Internal Medicine，Hongqi Hospital Affiliated to Mudanjiang Medical University，Mudanjiang 157000，China 　　[Abstract] Objective To study the application efficacy of digestive tract nursing in stroke with ventilator-associated pneumonia. Methods 60 cases with stroke from February 2012 to January 2014 in our hospital were selected and divided into group A and group B.Among them，30 cases in group A from February 2012 to January 2013 in January received routine nursing；30 cases in group B from February 2013 to January 2014 received digestive tract nursing bases on routine nursing.Nursing effect of two groups were analyzed. Results Compared with the group A，mechanical ventilation and duration of hospitalization of group B were significantly shorter，VAP rate and mortality wre lowt，and the difference was statistically significant （P0.05）；Compared with group A，nursing satisfaction，ability of daily life（ADL） scores of group B were higher，and the difference was statistically significant（P0.05）. Conclusion For patients with stroke，digestive tract nursing can effectively shorten the mechanical ventilation time and hospitalization time， reduce the incidence of VAP and mortality，improve patient’s mental state，and improve the daily living ability of the patients. 　　[Key words] Stroke；Ventilator；pneumonia；D