首页|床旁超声联合镇静躁动评分对ICU机械通气患者撤机的指导作用

床旁超声联合镇静躁动评分对ICU机械通气患者撤机的指导作用

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目的:分析床旁超声联合镇静躁动评分对ICU机械通气患者撤机的指导作用。方法:选取2022年4月—2023年3 月东莞市黄江医院收治的 52 例ICU机械通气患者。随机将其分为对照组和观察组,各 26 例。对照组根据常规方式进行撤机,观察组根据床旁超声联合镇静躁动评分进行撤机。比较两组撤机成功率,临床指标,不良事件。结果:观察组撤机成功率高于对照组,差异有统计学意义(P<0。05)。观察组机械通气时间、ICU住院时间均短于对照组,死亡率低于对照组,差异有统计学意义(P<0。05)。观察组不良事件发生率低于对照组,差异有统计学意义(P<0。05)。结论:床旁超声联合镇静躁动评分在ICU机械通气患者撤机中的指导作用突出,能够保证撤机成功率,降低死亡率,缩短机械通气时间和ICU住院时间,降低不良事件发生率。
Guiding Effect of Bedside Ultrasound Combined with Sedation and Agitation Score on Withdrawal of Mechanical Ventilation Patients in ICU
Objective:To analyze the guiding effect of bedside ultrasound combined with sedation and agitation score on withdrawal of mechanical ventilation patients in ICU.Method:A total of 52 ICU mechanical ventilation patients admitted to Dongguan Huangjiang Hospital from April 2022 to March 2023 were selected.They were randomly divided into control group and observation group,26 cases in each group.The control group was withdrawn according to conventional methods,and the observation group was withdrawn according to bedside ultrasound combined with sedation and agitation score.The withdrawal success rate,clinical indicators and adverse events of the two groups were compared.Result:The success rate of withdrawal in observation group was higher than that in control group,the difference was statistically significant(P<0.05).The mechanical ventilation time and ICU stay time in the observation group were shorter than those in the control group,and the mortality rate was lower than that in the control group,the differences were statistically significant(P<0.05).The incidence of adverse events in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:Bedside ultrasound combined with sedation and agitation score plays a prominent role in guiding the withdrawal of patients with mechanical ventilation in ICU,which can ensure the success rate of withdrawal,reduce mortality,shorten the time of mechanical ventilation and ICU stay,and reduce the incidence of adverse events.

Bedside ultrasoundSedation and agitation scoreMechanical ventilationWithdrawal

曾金华、刘志伟、刘琳、马渤键、李映笑、高坤华

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东莞市黄江医院 广东 东莞 523750

床旁超声 镇静躁动评分 机械通气 撤机

东莞市社会发展科技项目

20211800900712

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(9)
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