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目的探讨ICU病房慢性阻塞性肺病患者机械通气时间的相关因素。方法回顾性分析75例患者的临床资料。结果两组患者在插管前有意识障碍、插管后有无上消化道出血、发生呼吸机相关性肺炎、年龄和血白蛋白水平的比较差异有统计学意义(P<0.05)。而和既往是否有脑梗死、糖尿病差异无统计学意义(P>0.05)。结论插管后有无上消化道出血、发生呼吸机相关性肺炎、年龄、低蛋白血症等是导致机械通气时间延长的单独因素,通过临床注意和技术纠正,可缩短患者机械通气的时间,值得临床推广。
Objective To investigate the related factors of mechanical ventilation time in patients with chronic obstructive pulmonary disease in ICU ward. Methods The clinical data of 75 patients were retrospectively analyzed. Results There were significant differences in consciousness disorder between two groups before intubation, upper gastrointestinal bleeding after intubation, ventilator - associated pneumonia, age and serum albumin level (P <0.05). However, the past and whether there is a cerebral infarction, diabetes, no significant difference (P> 0.05). Conclusion The presence of upper gastrointestinal bleeding after intubation, ventilator-associated pneumonia, age, hypoalbuminemia, etc. are the independent factors leading to prolonged mechanical ventilation. Through clinical attention and technical correction, the time of mechanical ventilation can be shortened, Worth clinical promotion.