Effect of early systematic intestinal stimulation on patients with mechanical ventilation
10.3760/j.issn.1674-2907.2014.22.020
- VernacularTitle:早期系统肠道刺激对机械通气患者的影响
- Author:
Danhui LI
1
;
Mei YANG
;
Yi SONG
;
Mingqu LI
;
Ming WU
;
Haiying RUAN
Author Information
1. 518028 深圳市第二人民医院急诊科
- Keywords:
Mechanical ventilation;
Constipation;
Multiple organ dysfunction syndrome;
Systematic intestinal stimulation;
APACHE II score
- From:
Chinese Journal of Modern Nursing
2014;20(22):2787-2790
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of early systematic intestinal stimulation on patients with mechanical ventilation .Methods Ninety-four patients with mechanical ventilation were chosen and divided into the control group and the observation group according to the random number table , each with 47 cases.The control group received the routine nursing , and the observation group received the early systematic intestinal stimulation.The score of APACHEⅡscale, the days of mechanical ventilation , the incidence rate of multiple organ dysfunction syndrome ( MODS ) , the days of hospitalization in ICU and the mortality were compared between two groups .Results No difference was found in the score of APACHEⅡ scale before the intervention between two groups (P>0.05).The score of APACHEⅡscale was (14.60 ±7.95) in the observation group after the intervention, and was lower than (18.38 ±8.24) in the control group and (19.57 ±2.64) before the intervention, and the differences were statistically significant (t=-2.268,-4.841, respectively;P<0.05). The scores of APACHEⅡ scale were respectively (19.47 ±2.28), (15.34 ±1.63) in the control group exclude the death cases before and after the intervention , and the difference was statistically significant ( t=-13.077,P<0.01).The days of mechanical ventilation was (7.66 ±6.89) d in the observation group, and was lower than (11.96 ±8.19) d in the control group, and the difference was statistically significant (t =-2.753,P<0.01).No differences were found in the incidence rate of MODS , the days of hospitalization in ICU and the mortality between two groups (P >0.05).Conclusions The preventive implement of early systematic intestinal stimulation on patients with mechanical ventilation can improve the condition of patients , and shorten the duration of mechanical ventilation .
