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目的:探讨综合护理干预在毒蛇咬伤患者行气管切开护理中的作用及方法。方法:选择肇庆市第三人民医院住院毒蛇伤行气管切开危重型患者58例,按时间先后顺序分为观察组30例,对照组28例,对照组采用常规治疗及护理,观察组在常规治疗护理的基础上给予心理干预、认知干预、音乐疗法、大蒜液气管内滴入,加强气道管理等综合护理措施。比较两组患者的疗效。结果:观察组患者肺部感染例数明显少于对照组,差异具有统计学意义(P<0.05);观察组气管切开术48 h内发生躁动、非计划拔管例明显少于对照组;观察组有1例患者死亡,死亡率3.3%,对照组有3例患者死亡,死亡率10.7%。结论:应用综合护理干预可以降低毒蛇咬伤患者行气管切术后并发症的发生,改善疾病预后。
Objective: To explore the effect and method of comprehensive nursing intervention in tracheotomy nursing in snakebite patients. Methods: Fifty-eight patients with traumatic critical tracheal incision were enrolled in the Third People’s Hospital of Zhaoqing City, divided into observation group (30 cases) and control group (28 cases). The control group received routine treatment and nursing. The observation group was divided into routine Treatment and care based on the psychological intervention, cognitive intervention, music therapy, garlic liquid tracheal instillation, strengthen airway management and other comprehensive care measures. Compare the efficacy of two groups of patients. Results: The number of pulmonary infection in the observation group was significantly less than that in the control group (P <0.05). Restraint occurred within 48 hours in the tracheotomy group in the observation group and less in the unplanned extubation group than in the control group. One patient died in the observation group with a mortality rate of 3.3%. Three patients in the control group died with a mortality rate of 10.7%. Conclusion: The application of comprehensive nursing intervention can reduce the incidence of complications after tracheotomy in patients with snake bites and improve the prognosis of the disease.