查詢結果分析
來源資料
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題 名 | 在醫學中心內新成立的呼吸照護中心使用呼吸器患者一年的預後分析=The Outcome of Patients with Mechanical Ventilation in Respiratory Care Center of a Medical Center in One Year |
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作 者 | 吳清平; 楊式興; 蔡珮漪; 彭萬誠; 顏鴻欽; 江啟輝; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 2:1 2000.01[民89.01] |
頁 次 | 頁1-14 |
專 輯 | 胸腔重症專題 |
分類號 | 415.415 |
關鍵詞 | 呼吸照護中心; 中重度加護中心; 人工呼吸器; Repiratory care center; Intermediate ICU; Mechanical ventilation; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究之目的在探討成立呼吸照護中心(Respiratory care center, RCC),對長期使用呼吸器患者的成效。三軍總醫院成立國内第一家RCC,專收呼吸器難以脫離的病患,本研究於此中心由民國86年5月16日起至87年5月16日止,一年間收集了160位呼吸器病患的各項變項。統計結果顯示長期使用呼吸器患者於轉入RCC後,呼吸器成功脫離率為76/160 (47.5%),死亡率為27/160 (16.88%)。病患男女比率約為1:0.95,平均年齡為70.88歲,平均住院天數41.05天,呼吸器使用天數平均為37.66天,於轉入RCC之前呼吸器使用天數平均已達31.09天。疾病分類以急性肺損傷後的慢性病患(Acute lung with chronic square)佔101/160 (63.1%),平均疾病嚴重度(APACHE Ⅱ)為16.44±6.05分,轉入RCU時,血漿白蛋白(Albumin)值平均為2.86±0.5,結案時則平均為2.98±0.51,院内感染率65/160 (40.63%),且無感染之病患的成功脫離率比有感染者來得高(58.8% vs. 35.4%),並具有統計上之差異性(p<0.05)。轉入RCC之前,呼吸器使用天數已超過30天者共有61位,於轉入RCC後仍有24/61 (39.34%)的成功脫離率。而轉入RCC後,呼吸器使用30天内的成功脫離率為54/95 (56.84%),死亡率為13/95 (13.68%);超過30天後成功脫離率為22/65 (33.85%),死亡率為14/65 (21.54%)。内科加護中心新病患人數增為2.2倍,平均住院日從11.68天降至6.17天。本研究結果顯示RCC的成立提高了呼吸器的成功脫離率,也增加内科加護中心病房之利用率。 |
英文摘要 | A Respiratory care center (RCC) with main purpose of taking care of patients with prolonged use of mechanical ventilation was set up in May 1997. The whole nursing staff were specially trained in the field of respiratory care, especially in weaning project. The team of respiratory therapist, nurse, nutritionist and physical therapist were organized under the supervising of pulmonary attending physician. There were 160 patients admitted at this unit in one year from May 1997 to May 1998. The mean ventilator days before entering RCC was 31.09. The mean ventilator days after entering RCC was 37.66. The rate of successful weaning was 47.5%. The mortality rate was 16.88%. There were 28.13% remained using ventilator. The amount of new admission at medical ICU increased two times more than that before RCC opening. The mean length of stay (LOS) at medical ICU decreased from 11.68 days to 6.17 days. The result supports that the respiratory intermediated ICU can increase the successful rate of weaning from mechanical ventilator and the bed utility rate of medical ICU. |
本系統中英文摘要資訊取自各篇刊載內容。