Vidatak EZ交流板在慢性阻塞性肺疾病急性加重期有创机械通气患者中的应用

Application of Vidatak EZ communication board in AECOPD patients who received invasive mechanical ventilation

摘要:

目的：分析Vidatak EZ交流板在慢性阻塞性肺疾病急性加重期（acute exacerbation in chronic obstructive pulmonary dis－ease，AECOPD）有创机械通气患者中的应用情况。方法：将2011年10月至2012年11月我科收治的131例接受有创通气治疗的AECOPD患者作为研究对象，随机分为试验组（65例）和对照组（66例）。医护人员采用Vidatak EZ交流板与试验组交流，文字卡与对照组交流。记录2组患者的一般资料并使用监护室患者意识模糊评估法评估２组患者ICU谵妄的发病情况。比较2组患者有创通气时间、ICU住院时间、住院总时间、治疗结果及ICU谵妄的发病率。结果：2组患者的一般资料、急性生理和慢性健康评分Ⅱ的差异无统计学意义（P >0.05）。2组患者ICU住院时间、住院总时间及治疗结果比较，差异无统计学意义（P >0.05），试验组有创通气时间少于对照组，差异具有统计学意义（P<0.05）。2组患者ICU谵妄的发病率比较显示，试验组ICU谵妄的发病率明显低于对照组，差异具有统计学意义（P<0.05）。结论：Vidatak EZ交流板能有效缩短AECOPD有创机械通气患者的机械通气时间，显著降低ICU谵妄的发病率，具有良好的应用前景。

Abstract:

Objective：To explore the application of Vidatak EZ communication board in acute exacerbation in chronic obstructive pul－monary disease（AECOPD） patients who received invasive mechanical ventilation. Methods：Totally 131 patients who admitted into respiratory ICU of our hospital from October 2011 to November 2012 were enrolled in the study. They were randomly divided into two groups：experimental group（n=65） and control group（n=66）.Vidatak EZ board was used to communicate with patients in experimental group while text card was used to communicate with patients in control group. General condition of the two groups were recorded. In－cidence of ICU delirium in two groups were assessed by confusion assessment method for ICU. Mechanical ventilation duration，ICU duration and total hospital duration，treatment outcome and incidence of ICU delirium were compared between the two groups. Results：No statistical difference was noted in general condition，acute physiology and chronic health evaluationⅡ，ICU duration，total hospital duration and treatment outcome between two groups（all P >0.05）. Duration of mechanical ventilation was less in experimental group than in control group with statistically differences（P<0.05）. Incidence of ICU delirium was lower in experimental group than in con－trol group with statistically differences（P<0.05）. Conclusion：Vidatak EZ communication board can effectively shorten the duration of mechanical ventilation and reduce the incidence of ICU delirium in AECOPD patients who received invasive mechanical ventila－tion，therefore it has good application prospect.