Clinical Approach Of Weaning And Its Influence Factors

Objective To find out the key link influencing weaning result and the solution for that and prefer practice guidelines for weaning by analysing many factors influencing the whole weaning process.Methods The clinical data of 140 patients with mechanical ventilation in our hospital over the last five years were collected and analyzed.Results Univariate logistic regression analysis showed that 26 factors(including age,gender and so on) influenced weaning.Multivariate logistic regression analysis showed that pulmonary infection,abdominal distension and APACHEâ…¡score were independent risk factors influencing weaning,while the effective ability of cough and spit was the sole advantageous factor influencing weaning.In terms of usual weaning ways,the achievement ratio of SBT was the topmost,followed by the way of sequential non-invasive following short-term invasive mechanical ventilation,while the achievement ratio of direct weaning way was the lowest.Conclusion Univariate logistic regression analysis showed that 26 factors(including age,gender and so on) influenced weaning.Multivariate logistic regression analysis showed that pulmonary infection,abdominal distension and APACHEâ…¡score were independent risk factors influencing weaning,while the effective ability of cough and spit was the only advantageous factor influencing weaning.In terms of usual weaning ways,the achievement ratio of SBT was the topmost,followed by the way of sequential non-invasive following short-term invasive mechanical ventilation,while the achievement ratio of direct weaning way was the lowest.