重型颅脑损伤患者行气管切开30例护理分析

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目的探讨重型颅脑损伤患者施行气管切开术后的护理方法和疗效。方法回顾性分析我院2014年3月至2016年3月30例重型颅脑损伤且施行气管切开术患者的临床资料,随机分为研究组和治疗组各15例,采用综合气道护理方案的为研究组,采用常规气管切开护理方案的为治疗组,比较2组的临床疗效。结果与治疗组比较,研究组肺部感染发生率低、呼吸道刺激性咳嗽发生率低及呼吸道黏膜出血发生率低,病人气管切开置管时间短,病人平均日住院短,对护理满意度高,2组差异有统计学意义(P<0.05)。结论综合气道护理方案在气管切开术后护理中能有效降低并发症发生率,缩短了平均住院日,提高了病人的满意度,促进病人较快的康复,是一种行之有效的护理方案。 Objective To investigate the nursing and curative effect of tracheotomy in patients with severe traumatic brain injury. Methods The clinical data of 30 patients with severe craniocerebral trauma who underwent tracheotomy from March 2014 to March 2016 in our hospital were retrospectively analyzed. They were randomly divided into study group and treatment group (n = 15). Comprehensive airway nursing program Of the study group, the conventional tracheotomy nursing program for the treatment group, the clinical efficacy of two groups were compared. Results Compared with the treatment group, the incidence of pulmonary infection in study group was low, the incidence of respiratory irritation cough and mucosal hemorrhage in respiratory tract was low. The tracheotomy catheterization time was short, the average hospitalization was short, and the satisfaction with nursing was high , The difference between the two groups was statistically significant (P <0.05). Conclusion Integrated airway nursing program can effectively reduce the incidence of complications after tracheotomy nursing, shorten the average length of stay, improve patient satisfaction, and promote faster recovery of patients, is an effective care Program.
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