本文關(guān)鍵詞： 肺炎 呼吸機(jī)相關(guān)性 意識(shí)障礙 格拉斯哥昏迷量表 全面無(wú)反應(yīng)性量表　出處：《中國(guó)全科醫(yī)學(xué)》2017年27期 　論文類(lèi)型：期刊論文

【摘要】：目的探討格拉斯哥昏迷量表(GCS)評(píng)分和全面無(wú)反應(yīng)性量表(FOUR)評(píng)分與腦電雙頻指數(shù)(BIS)及呼吸機(jī)相關(guān)性肺炎(VAP)的相關(guān)性,旨在為臨床預(yù)防VAP提供幫助。方法選取2015年7—12月天津市第一中心醫(yī)院ICU收治的建立人工氣道并進(jìn)行機(jī)械通氣的患者40例作為研究對(duì)象�；颊哌M(jìn)入ICU 12 h內(nèi)進(jìn)行GCS、FOUR評(píng)分,同時(shí)行24 h BIS監(jiān)測(cè),記錄相關(guān)數(shù)值,采用國(guó)內(nèi)標(biāo)準(zhǔn)或臨床肺部感染積分(CPIS積分)診斷VAP,并追蹤患者VAP發(fā)生情況。GCS、FOUR評(píng)分與BIS及VAP的相關(guān)性分別采用Pearson相關(guān)分析、Spearman秩相關(guān)分析。結(jié)果GCS評(píng)分為(8.3±4.0)分,FOUR評(píng)分為(8.3±3.7)分,BIS為(69.7±17.6)。GCS、FOUR評(píng)分均與BIS呈正相關(guān)(r值分別為0.761、0.821,P0.01)。GCS評(píng)分與早發(fā)性VAP無(wú)直線相關(guān)關(guān)系(r_s=0.885,P0.05);GCS評(píng)分與晚發(fā)性VAP呈高度負(fù)相關(guān)(r_s=-0.994,P0.01)。FOUR評(píng)分與早發(fā)性VAP呈高度正相關(guān)(r=0.992,P0.01);GCS評(píng)分與晚發(fā)性VAP呈高度負(fù)相關(guān)(r_s=-0.958,P0.05)。結(jié)論與GCS評(píng)分相比,FOUR評(píng)分與BIS、VAP的相關(guān)性更高,推測(cè)FOUR評(píng)分更適合用于評(píng)估患者的意識(shí)障礙程度和預(yù)測(cè)VAP的發(fā)生,且其具有使用簡(jiǎn)便、便于記憶等優(yōu)勢(shì)。
[Abstract]:Objective to investigate the correlation between Glasgow coma scale (Glasgow coma scale) and total non-reactivity scale (FOURL) with bispectral index (BIS) and ventilator associated pneumonia (VAP). Methods 40 patients with artificial airway and mechanical ventilation admitted to ICU of Tianjin first Central Hospital from July to December in 2015 were selected as study objects. Patients entering ICU. GCS was performed within 12 hours. At the same time, the FOUR score was monitored for 24 hours, and the relevant values were recorded. VAP was diagnosed by domestic standard or clinical pulmonary infection score. The correlation between the incidence of VAP and BIS and VAP was analyzed by Pearson. Results the GCS score was 8.3 鹵4.0 and the Four score was 8.3 鹵3.7. The BIS score was 69.7 鹵17.6 鹵17.6. the Four score was positively correlated with BIS, and the r value was 0.761 鹵0.821, respectively. There was no linear correlation between P0.01GCS score and early onset VAP. There was a highly negative correlation between GCS score and late VAP. There was a high positive correlation between the score of GCS and the score of early onset VAP. P0.01; There was a high negative correlation between GCS score and late VAP. Conclusion compared with GCS score, the correlation between GCS score and BIS VAP is higher. It is suggested that FOUR score is more suitable for evaluating the degree of consciousness disorder and predicting the occurrence of VAP, and it has the advantages of simple use and convenient memory.
【作者單位】： 天津中醫(yī)藥大學(xué)研究生院;天津市第一中心醫(yī)院;
【基金】：天津市衛(wèi)生行業(yè)重點(diǎn)攻關(guān)項(xiàng)目(14KG101) 天津市衛(wèi)生局科技基金項(xiàng)目(2012KZ027)
【分類(lèi)號(hào)】：R459.7
【正文快照】： 意識(shí)障礙評(píng)分量表是對(duì)意識(shí)障礙患者進(jìn)行定量評(píng)估WIJDICKS等[3]針對(duì)GCS缺陷設(shè)計(jì)的用于評(píng)估意識(shí)障礙的臨床工具,具有臨床指征量化、簡(jiǎn)便易行、重復(fù)性好程度的新量表,包括睜眼反應(yīng)、運(yùn)動(dòng)反應(yīng)、腦干反射、等優(yōu)勢(shì)。格拉斯哥昏迷量表(GCS)是由TEASDALE呼吸節(jié)律4個(gè)計(jì)分項(xiàng)目。每個(gè)計(jì)分，

本文編號(hào)：1443346