摘要
目的:探讨急诊急危重症患者应用呼吸阶梯性疗法进行抢救的疗效。方法:选取2019年4月—2020年4月舞钢市人民医院急诊收治的78例急危重症患者,将2019年4—10月行呼吸阶梯性疗法前急诊收治的39例急危重症患者为对照组,将2019年11月—2020年4月行呼吸阶梯性疗法后急诊收治的39例急危重症患者为观察组。对比两组呼吸支持方式、抢救效果以及满意度。结果:所有呼吸支持方式中以复苏体位、鼻导管吸氧为主,观察组复苏体位使用率为84.62%,高于对照组的56.41%;气管切开率为2.56%,低于对照组的25.64%,差异有统计学意义(χ^(2)=7.461、8.593,P<0.05);观察组呼吸恢复稳定时间、住院时间分别为(40.60±5.71)min、(14.22±4.17)d,均短于对照组的(55.78±5.69)min、(20.64±5.53)d,差异有统计学意义(t=11.760、5.789,P<0.05);观察组护理满意度为97.44%,高于对照组的79.49%,差异有统计学意义(χ^(2)=4.522,P<0.05)。结论:呼吸阶梯性疗法在急诊急危重症患者中的抢救效果较好,能够缩短患者呼吸恢复稳定时间与住院时间,利于提高抢救满意度。
Objective:To investigate the effect of respiratory ladder therapy on emergency patients.Methods:From April 2019 to April 2020,78 patients with acute and critical illness in the hospital were selected as the research objects.The 39 critically ill patients admitted to the emergency department before the respiratory step therapy from April 2019 to October 2019 were used as the control group,and the 39 severely ill patients admitted to the emergency department after respiratory step therapy from Novem⁃ber 2019 to April 2020 were included in the observation group.The respiratory support mode,rescue effect and satisfaction were compared between the two groups.Results:The recovery position and nasal tube oxygen inhalation were the main methods of respi⁃ratory support.The recovery position utilization rate of the observation group was 84.62%,which was higher than 56.41%of the control group.The tracheotomy rate of the observation group was 2.56%,which was lower than 25.64%of the control group,the dif⁃ference was statistically significant(χ^(2)=7.461,8.593,P<0.05).The respiratory recovery time and hospitalization time of the obser⁃vation group were(40.60±5.71)min and(14.22±4.17)d,which were shorter than(55.78±5.69)min and(20.64±5.53)d of the con⁃trol group,with statistically significant difference(t=11.760,5.789,P<0.05).The nursing satisfaction of the observation group was 97.44%,which was higher than 79.49%of the control group,the difference was statistically significant(χ^(2)=4.522,P<0.05).Con⁃clusion:The effect of respiratory ladder therapy in emergency patients with acute and critical illness is better,which can shorten the time of respiratory recovery and hospital stay,and improve the rescue satisfaction.
作者
卢浩黔
LU Hao-qian(Emergen-cy Department,Wugang People’s Hospital,Wugang,Henan,462500,China)
出处
《黑龙江医学》
2022年第3期287-289,共3页
Heilongjiang Medical Journal
关键词
急诊抢救
急危重症
呼吸阶梯性疗法
抢救效果
满意度
呼吸支持
Emergency rescue
Acute and severe
Respiratory ladder therapy
Rescue effect
Satisfaction
Respiratory support
