Research of sequencing weaning in the patients with chronic obstructive pulmonary disease
10.3760/cma.j.issn.1674-2907.2010.15.022
- VernacularTitle:慢性阻塞性肺疾病患者程序化撤机策略的研究
- Author:
Chang-Ju LIAO
1
;
Xue-Mei ZOU
;
Shu-Lan MING
;
Hui-Li ZHANG
Author Information
1. 643000,四川省自贡市第一人民医院ICU
- Keywords:
Chronic obstructive;
Pulmonary diseases;
Ventilation;
Sequencing weaning;
Breath tests
- From:
Chinese Journal of Modern Nursing
2010;16(15):1801-1803
- CountryChina
- Language:Chinese
-
Abstract:
Objective To research the sequencing weaning in the patients with chronic obstructive pulmonary disease (COPD). Methods The COPD patients were divided into two groups in this prospective case-control study: protocol-directed group vs none- protocol-directed group. The patients in the former group received programmed ventilator weaning strategy, detaily patients were selected through the shallow breathing with fast exponential screening, then were conducted by spontaneous breathing trial SBT , finally were pulled out the endotracheal intubation. The patients in the latter group were determined the timing of ending the ventilator according to doctors subjective judgment and clinical experience. Results The ventilation time of protocoldirected and on-protocol-directed group was ( 8.01 ± 7. 22 ) and ( 10.74 ± 5.58 ) days ( P = 0. 034 ) respectively. ICU stay time was shorter in protocol-directed group than in non-protocol-directed group ( 8.86 ±6.92 vs 12 ±6.10 days, P =0. 026). The success rate of weaning in protocol-directed group was 76.31% (29/38),which was higher than that in non-protocol ～ directed group( 12/25,48% , P = 0. 009 ). Conclusions Protocoldirected weaning and SBT may reduce the ventilation time and ICU stay time and enhance success rate of weaning.
