集束化治疗对颅脑疾病合并呼吸机相关性肺炎患者预后的影响
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于湘友

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R563.1

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Influence of bundle treatment on prognosis of encephalopathy patients with ventilatorassociated pneumonia
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    摘要:

    目的探讨集束化治疗措施对颅脑疾病合并呼吸机相关性肺炎(VAP) 患者预后的价值。方法对2010年9月—2012年3月收住某院重症监护室(ICU)的72例机械通气患者采用随机数字表随机分为实验组和对照组, 实验组(37例)采取集束化治疗措施,对照组(35例)采取常规治疗措施,分别对两组患者的住ICU时间、费用及28 d病死率进行比较。结果实验组患者ICU住院时间为(11.93±6.25)d,显著短于对照组(18.08±7.53)d,差异有统计学意义(t=3.27,P=0.00);ICU住院费用为人民币(6.87±3.25)万元,显著低于对照组(9.58±3.82)万元,差异有统计学意义(t=2.81,P=0.01);28 d病死率为24.32%(9/37),与对照组(31.43%,11/35)差异无统计学意义(χ2=0.22,P>0.05)。结论集束化治疗措施能减少颅脑疾病合并VAP患者住ICU的时间及费用,但不能降低其病死率。

    Abstract:

    ObjectiveTo evaluate the prognostic value of bundle treatment on prognosis of encephalopathy patients with ventilatorassociated pneumonia(VAP).MethodsSeventytwo mechanically ventilated patients admitted to an intensive care unit (ICU) from September 2010 to March 2012 were randomly divided into experimental and control group, 37 patients in experimental group adopted bundle treatment, 35 patients in control group received conventional treatment, the length of ICU stay, hospital cost and 28day mortality following admission of two groups were compared.ResultsLength of ICU stay in experimental group was significantly shorter than that of control group ([11.93±6.25] vs [18.08±7.53] days, t=3.27, P=0.00); hospitalization cost in experimental group was significantly less than that of control group ([68.7±32.5] vs [95.8±38.2] thousand yuan, t=2.81, P=0.01); 28day mortality following admission in experimental group and control group was 24.32% (9/37) and 31.43% (11/35) respectively, there was no significant difference (χ2=0.22, P>0.05).ConclusionThe bundle treatment can reduce length of hospital stay and hospital cost of encephalopathy patients with VAP, but can not reduce mortality.

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王正凯,马龙,王毅,等.集束化治疗对颅脑疾病合并呼吸机相关性肺炎患者预后的影响[J]. 中国感染控制杂志,2012,11(5):352-354.
WANG Zhengkai, MA Long, WANG Yi, et al. Influence of bundle treatment on prognosis of encephalopathy patients with ventilatorassociated pneumonia[J]. Chin J Infect Control, 2012,11(5):352-354.

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  • 收稿日期:2012-04-02
  • 最后修改日期:2012-06-23
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  • 在线发布日期: 2012-09-30
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