本文關(guān)鍵詞： 肺炎 呼吸機相關(guān)性 意識障礙 格拉斯哥昏迷量表 全面無反應(yīng)性量表　出處：《中國全科醫(yī)學(xué)》2017年27期 　論文類型：期刊論文

【摘要】：目的探討格拉斯哥昏迷量表(GCS)評分和全面無反應(yīng)性量表(FOUR)評分與腦電雙頻指數(shù)(BIS)及呼吸機相關(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行機械通氣的患者40例作為研究對象�；颊哌M入ICU 12 h內(nèi)進行GCS、FOUR評分,同時行24 h BIS監(jiān)測,記錄相關(guān)數(shù)值,采用國內(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評分為(8.3±4.0)分,FOUR評分為(8.3±3.7)分,BIS為(69.7±17.6)。GCS、FOUR評分均與BIS呈正相關(guān)(r值分別為0.761、0.821,P0.01)。GCS評分與早發(fā)性VAP無直線相關(guān)關(guān)系(r_s=0.885,P0.05);GCS評分與晚發(fā)性VAP呈高度負(fù)相關(guān)(r_s=-0.994,P0.01)。FOUR評分與早發(fā)性VAP呈高度正相關(guān)(r=0.992,P0.01);GCS評分與晚發(fā)性VAP呈高度負(fù)相關(guān)(r_s=-0.958,P0.05)。結(jié)論與GCS評分相比,FOUR評分與BIS、VAP的相關(guān)性更高,推測FOUR評分更適合用于評估患者的意識障礙程度和預(yù)測VAP的發(fā)生,且其具有使用簡便、便于記憶等優(yōu)勢。
[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)重點攻關(guān)項目(14KG101) 天津市衛(wèi)生局科技基金項目(2012KZ027)
【分類號】：R459.7
【正文快照】： 意識障礙評分量表是對意識障礙患者進行定量評估WIJDICKS等[3]針對GCS缺陷設(shè)計的用于評估意識障礙的臨床工具,具有臨床指征量化、簡便易行、重復(fù)性好程度的新量表,包括睜眼反應(yīng)、運動反應(yīng)、腦干反射、等優(yōu)勢。格拉斯哥昏迷量表(GCS)是由TEASDALE呼吸節(jié)律4個計分項目。每個計分，

本文編號：1443346