Abstract: Objective To compare and analyze the efficacy of two visiting systems in relieving ICU syndrome in patients with tracheal intubation. Methods 120 cases of patients with tracheal intubation in our hospital From January 2016 to May were divided into observation group and control group ， each 60 cases. The control group followed the current visitation system ，in which one to four family num? bers were only permitted a visit for 20 minutes every day at 4 pm according to the bed number. The obser? vation group allowed more visiting frequency in a stable condition according to an appointment system. The occurrence of ICU syndrome，weaning from mechanical ventilation，reintubation after weaning，ICU nursing service quality satisfaction were observed and compared between two groups. Meanwhile ，the nos? ocomial infection were monitored. Results There were significant differences in the incidence of ICU syndrome，weaning rate，reintubation rate，nursing service quality satisfaction between the two groups （all P values<0.05）. The ventilator?associated pneumonia showed no significant difference compared to the same period last year in two groups. Conclusion The management by raising the number of family visits can effectively prevent tracheal intubation in patients with ICU syndrome. As long as the strict im? plementation of disinfection and isolation measures ，visitation increased without increasing the hospital infection.

Key words: visitation, intubation, ICU syndrome

摘要： 【摘 要】 目 的 比 较 和 分 析 两 种 探 视 制 度 缓 解 气 管 插 管 清 醒 患 者 ICU 综 合 征 的 疗 效 。方 法 选择本科室 2016 年 1 月~5 月收治的气管插管清醒患者 120 例，分为观察组和对照组，各60 例，对照组执行科室目前探视制度，每天下午 4 点开始，按照床号逐个安排 1~4 个家属入室探视 20 分钟，其他时间不予探视；观察组实行预约制，并在病情稳定的前提下增加入室探视次数。对两组患者 ICU 综合征的发生情况、撤机率及撤机后再插管率、ICU 护理服务质量满意度进行观察对比，同时密切监测科室院内感染各项指标。结果 两组 ICU 综合征发生率，撤机率、再插管率及护理服务质量满意度的差异具有统计学差异（P<0.05）；实验期间，呼吸机相关性肺炎的发生率与 2015 年同期比较无明显差异。结论 增加亲人入室探视次数能有效预防气管插管患者ICU 综合征的发生。只要严格执行消毒、隔离等措施，探视增加不增加医院感染。

关键词: 气管插管, 探视, ICU 综合征