icu气管切开患者肺部感染的临床护理及预防措施探讨.docVIP

精品论文 参考文献 ICU气管切开患者肺部感染的临床护理及预防措施探讨 石玉侠 　　（江苏徐州矿务集团第一医院 江苏 徐州 221000） 　　【摘要】目的：探讨全面系统的护理干预在ICU气管切开术后肺部感染患者中的应用效果。方法：选取我科ICU气管切开术后肺部感染患者60例，将其随机分为对照组和实验组。对照组患者采取常规的护理方法；实验组采取全面系统的护理方法。结果：实验组患者经全面系统的护理干预之后其治疗有效率和痊愈数显著高于对照组，对于治疗的满意度上亦显著高于对照组（P＜0.05）。同时，实验组患者的局部感染率，皮下气肿的发生，气管插管脱管的发生率以及导管堵塞的发生均低于对照组。（P＜0.05）数据有统计学意义。结论：全面系统的护理干预在ICU气管切开术后肺部感染的控制上可以发挥良好的效果，显著降低患者术后的并发症发生率，提升患者对于治疗的满意度，提升患者的生活质量。 　　【关键词】ICU；气管切开；肺部感染 　　【中图分类号】R473.6 【文献标识码】A 【文章编号】2095-1752（2016）22-0064-03 　　To explore the clinical nursing and prevention measures of ICU patients with tracheotomy pulmonary infection Shi Yuxia. 　　The First Hospital of Xuzhou Mining Group, Jiangsu Province, Xuzhou 221000, China 　　【Abstract】Objective Explore the systemic nursing intervention in the ICU application effect in patients with pulmonary infection after tracheotomy. Methods Select 60 patients with pulmonary infection after tracheotomy in the ICU, were randomly divided into control group and experimental group. The control group routine nursing methods. The experimental group adopts the method of comprehensive system of care. Results For efficient treatment, recovery, satisfaction, the experimental group is significantly higher than the control group. For local infection, the incidence of subcutaneous emphysema, the incidence of endotracheal intubation to take off the tube, and the incidence of catheter blockage, the experimental group were lower than the control group, (P lt; 0.05). Conclusions Systemic nursing intervention, the control of the ICU pulmonary infection after tracheotomy, can play a good effect, can significantly reduce the incidence of patients with postoperative complications, improve patient satisfaction and quality of life. 　　【Key words】The ICU; Trachea incision; Lung infection 　　气管切开术是缓解患者因呼吸机能障碍、喉源性呼吸困难以及下呼吸道分泌物潴留所引起严重呼吸困难的常用手术方法。而在ICU患者中，发生各种原因的呼吸困难更为多见，因此气管切开术的应用也最为频繁。气管切开之后，气管缺少保护因素直接暴漏于空气当中。我院对因施行气管切开术而合并肺部感染的ICU患者80例采取全面高效的综合性护理干预模式，取得了明显的效果。具体做法如下所示