韩汝宁, 陈春丽, 彭雅琴, 俞建平. eCASH理念结合早期分级康复训练在ICU机械通气病人中的应用研究[J]. 蚌埠医科大学学报, 2021, 46(9): 1280-1284. DOI: 10.13898/j.cnki.issn.1000-2200.2021.09.034
    引用本文: 韩汝宁, 陈春丽, 彭雅琴, 俞建平. eCASH理念结合早期分级康复训练在ICU机械通气病人中的应用研究[J]. 蚌埠医科大学学报, 2021, 46(9): 1280-1284. DOI: 10.13898/j.cnki.issn.1000-2200.2021.09.034
    HAN Ru-ning, CHEN Chun-li, PENG Ya-qin, YU Jian-ping. Application of eCASH concept combined with early graded rehabilitation training in ICU patients with mechanical ventilation[J]. Journal of Bengbu Medical University, 2021, 46(9): 1280-1284. DOI: 10.13898/j.cnki.issn.1000-2200.2021.09.034
    Citation: HAN Ru-ning, CHEN Chun-li, PENG Ya-qin, YU Jian-ping. Application of eCASH concept combined with early graded rehabilitation training in ICU patients with mechanical ventilation[J]. Journal of Bengbu Medical University, 2021, 46(9): 1280-1284. DOI: 10.13898/j.cnki.issn.1000-2200.2021.09.034

    eCASH理念结合早期分级康复训练在ICU机械通气病人中的应用研究

    Application of eCASH concept combined with early graded rehabilitation training in ICU patients with mechanical ventilation

    • 摘要:
      目的探讨eCASH理念结合早期分级康复训练在ICU机械通气病人中的应用效果。
      方法选取81例ICU机械通气病人为研究对象,其中2019年4月至2019年11月收集的40例病人为对照组,2019年12月至2020年7月收集的41例病人为试验组,对照组给予安徽省三甲医院常规镇痛镇静及护理,试验组实施基于eCASH理念的舒适化浅镇静管理结合早期分级康复训练。比较2组病人谵妄发生情况、镇静剂使用时间、机械通气时间和入住ICU时间。
      结果试验组病人谵妄发生率、谵妄持续时间、镇静剂使用时间、入住ICU时间和机械通气时间均低于对照组(P < 0.05~P < 0.01)。
      结论eCASH理念结合早期分级康复训练应用于ICU机械通气病人,具有较好的临床实用性,值得在临床推广使用。

       

      Abstract:
      ObjectiveTo explore the application effect of eCASH concept combined with early graded rehabilitation training in ICU patients with mechanical ventilation.
      MethodsA total of 81 ICU patients with mechanical ventilation were selected as the study objects, of which 40 patients collected from April 2019 to November 2019 were set as the control group, and 41 patients collected from December 2019 to July 2020 were set as the experimental group.The control group was given routine analgesia, sedation and nursing in grade A tertiary hospital of Anhui province, and the experimental group was given comfortable shallow sedation management based on eCASH concept combined with early graded rehabilitation training.The occurrence of delirium, time of sedative use, time of mechanical ventilation and time of admission to the ICU were compared between the two groups.
      ResultsThe incidence of delirium, duration of delirium, time of sedative use, time of admission to the ICU and time of mechanical ventilation in experimental group were lower than those in control group (P < 0.05 to P < 0.01).
      ConclusionsThe application of eCASH concept combined with early graded rehabilitation training in ICU patients with mechanical ventilation has a good clinical practicability and is worthy of clinical application.

       

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