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目的探讨气管插管患者导致非计划性拔管的相关因素。方法采用回顾分析法,随机选取北京某三甲医院重症医学科2014年3月-2015年1月收治的气管插管患者50例,住院期间均发生非计划性拔管,总结50例患者导致非计划性拔管的原因。结果 50例患者中,口气管插管46(92%)例、未使用静脉持续镇静剂43(86%)例、约束问题48(96%)例、咳嗽致使导管咳出9(18%)例、护理因素导致非计划性拔管4(8%)、呼吸机AC模式38(76%)例、无法耐受自行吐管10(20%)例、躁动13(26%)例、粘痰度II度42(84%)例、呼吸内科患者16(32%)例、神经内科患者14(28%)例。结论气管插管患者非计划性拔管与插管方式、镇静剂使用、约束问题、咳嗽、护理、给氧浓度、呼吸机模式、粘痰度、疾病类型、躁动、患者耐受情况等因素有关,临床工作中应该加以注意。
Objective To investigate the related factors leading to unplanned extubation in patients with tracheal intubation. Methods A retrospective analysis method was used to randomly select 50 cases of tracheal intubation admitted to Department of Critical Care Medicine of a top three hospital in Beijing from March 2014 to January 2015. All patients underwent unplanned extubation during hospitalization. Sexual extubation reasons. RESULTS: Of the 50 patients, 46 (92%) were intubated, 43 (86%) were not treated with intravenous sedation, 48 (96%) were constrained, and 9 (18%) were coughed, Nursing factors led to unplanned extubation 4 (8%), ventilator AC mode 38 (76%), unable to tolerate spontaneous spit 10 (20%), agitation 13 (26%), 42 (84%) cases, 16 (32%) respiratory medicine patients and 14 (28%) neurological patients. CONCLUSIONS: The unplanned extubation and intubation, the use of sedatives, restraint, cough, nursing, oxygen concentration, ventilator pattern, viscidity, type of disease, restlessness, patient tolerance and other factors in patients with tracheal intubation, Clinical work should be noted.