Application Of Programmed Offline In Patients With Severe Cerebral Apoplexy

Objectives:At present,Cerebrovascular disease(CVD)is the leading cause of human life health,with high morbidity,mortality and disability.Severe cerebral apoplexy patients with mechanical ventilation,(mechanical ventilation,MV)utilization rate is high,the video time is long,ventilator associated pneumonia(ventilator-associated root,VAP)incidence is high,long hospitalization time,psychological and economic burden is heavy,high mortality rate.Mechanical ventilation time is an independent factor that increases the risk of death from stroke,so it should be withdrawn as early as possible once the primary disease improves.Traditional offline mainly based on clinical experience,the lack of theoretical basis and quantitative indicators,much complications and hospitalization time is long,the high cost of hospitalization,department of neurology in procedural removal machine,the new project and applied to the patients with clinical will significantly shorten the MV time,will significantly reduce the incidence of VAP,shorten stay in the pharmaceutiacal market care unit Nerve intensive care unit(NICU)time,which greatly reduces the cost of hospitalization.Based on the research of the two methods of offline to find programmed off-line is superior to the traditional off-line,in patients with severe cerebral apoplexy has obvious advantages,will play an important role in the study of clinical severe diseases,clinical offline solutions to provide more evidence for later.Method:(1)65 patients with severe cerebral apoplexy treated with MV were collected,and 35 cases(program group)were used to withdraw the machine during the ventilator offline process,and were set as the experimental group.30 cases(experience group)were used as control group.(2)the incidence rate of offline success rate,MV time,NICU time,tracheotomy rate and ventilator associated pneumonia(VAP)were observed in the two groups.(3)the data was processed with SPSSl9.0 statistical software,and all data were performed in the form of mean plus or minus standard deviation(plus or minus S),and the test level was P<0.05,indicating that the difference was meaningful.Results : In implementation of MV severe cerebral apoplexy patients,procedural withdraw machine can obviously improve the success rate of ventilator(program group withdraw machine success rate as high as 68.6%,experience from machine success rate of only 33.3%),significantly shorten the MV time(program the experience group total MV time around 78 h),the NICU dramatically shorten the hospitalization time(program group more experience in NICU hospitalization time reduced the 6 d),and reduce incidence of VAP(program sets off the experience group had a 78% lower incidence of VAP),tracheotomy rate has no obvious difference(program unit 51.4%,experience set 63.3%),hospitalization cost greatly reduced(program sets off the experience group hospitalization cost decreased by 24.5%).Conclusion:For MV treatment of severe stroke patients,ventilator weaning,compared with empirical offline methods,improve the success rate of off-line,shortened the time of MV,live in NICU,reduced the incidence of VAP,reduce hospitalization expenses of the patients,but no obvious difference was found between two groups of patients with trachea cut rates.