摘要
目的 探究预防性护理应用在急诊呼吸机治疗患者中的效果。方法 选取本院急诊科 2021 年 9 月至
2022 年 9 月期间收治并行呼吸机治疗患者，共 106 例。全体患者参考随机数字表法设为两组，分别纳入 53 例。
对照组患者均予以常规护理措施，观察组患者均予以预防性护理措施。比较两组干预前后血气分析指标变化；并
统计两组相关临床指标及呼吸机相关性肺炎发生情况。结果 观察组机械通气时间、急诊重症监护室（EICU）停
留时间、住院时间相比对照组均有显著缩短（P＜0.05）。干预后两组患者 PaCO2、PaO2 以及 pH 值较同组干预前
均有显著改善（P＜0.05）；且观察组较对照组改善幅度更大（P＜0.05）。观察组呼吸机相关性肺炎发生率相比
对照组有显著下降（P＜0.05）。结论 预防性护理应用在急诊呼吸机治疗患者中，可促进血气分析指标改善，缩
短住院治疗时间，降低呼吸机相关性肺炎风险。
关键词： 预防性护理；急诊；呼吸机治疗
Abstract
objective To explore the effectiveness of preventive nursing application in emergency ventilator
treatment of patients. Method A total of 106 patients admitted to the emergency department of our hospital from
September 2021 to September 2022 for concurrent ventilator treatment were selected. All patients were divided into two
groups using the random number table method, with 53 cases included. The control group patients were given routine
nursing measures, while the observation group patients were given preventive nursing measures. Compare the changes in
blood gas analysis indicators between the two groups before and after intervention; And statistics were conducted on two
sets of relevant clinical indicators and the incidence of ventilator-associated pneumonia. Results The mechanical
ventilation time, emergency intensive care unit (EICU) stay time, and hospitalization time in the observation group were
significantly shortened compared to the control group (P<0.05). After intervention, both groups of patients showed
significant improvements in PaCO2, PaO2, and pH values compared to the same group before intervention (P<0.05); And
the observation group showed a greater improvement compared to the control group (P<0.05). The incidence of
ventilator-associated pneumonia in the observation group decreased significantly compared to the control group (P<0.05).
Conclusion The application of preventive nursing in emergency ventilator treated patients can promote the improvement
of blood gas analysis indicators, shorten hospitalization time, and reduce the risk of ventilator associated pneumonia.
Key words： Preventive care; Emergency treatment; Ventilator treatment
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