前馈控制预防脑卒中患者意外拔（脱）管的效果

摘要

Objective To explore the preventive effect of feedforward control on unexpected extubation in patients with cerebral apoplexy.Methods The clinical data of 42 cerebral apoplexy patients during May 2010 and May 2011 were retrospectively reviewed to find out the risk factors of unexpected extubation.The feedforward control was used to manage 49 cerebral apoplexy patients during June 2011 to June 2012 to control the risk factors.The incidence of unexpected extubation was compared between pre-and post-use of feedforward control. Results After application of feedforward control,the incidences of unexpected extubation of gastric tube,deep vein tubes and urinary tubes reduce were significantly decreased compared to pre-use of feedforward control(all P<0.01).Conclusion The feedforward control on patients with cerebral apoplexy is effective in reducing the incidence of unexpected extubation and ensuring the intubation safety.%目的：探讨前馈控制预防脑卒中患者意外拔（脱）管（unp land extubation，UE）的效果。方法回顾分析2010年5月～2011年5月本科室收治的42例脑卒中患者（共置管134例次）UE的风险因素，应用前馈控制方法对2011年6月～2012年6月本科室收治的49例脑卒中患者（共置管159例次）进行管理。比较前馈控制前后两阶段患者发生UE的情况。结果应用前馈控制后脑卒中患者胃管、深静脉置管、尿管UE的发生率明显下降，前后比较，均P＜0.01，差异具有统计学意义。结论对脑卒中患者实施前馈控制管理法，可有效降低UE发生率，确保患者置管安全。