护理干预对ICU 气管切开患者肺部感染的干预观察.docVIP

精品论文 参考文献 护理干预对ICU 气管切开患者肺部感染的干预观察 葛颂（商丘市第一人民医院RICU 呼吸重症医学科 河南商丘 476100） 　　【摘要】目的 : 观察护理干预对ICU 气管切开患者肺部感染的效果。方法: 选择2013 年1 月至2014 年10 月于我院重症监护病房（ICU）气管切开患者70 例，随机均分为对照组与观察组，各35 例。对照组和观察组分别实施常规护理模式和综合性护理干预措施，统计记录两组肺部感染情况，并统计两组并发症情况。结果: 观察组肺部感染率（31.4%）及其感染时间（17.3plusmn;3.2）d 与对照组感染率（65.7%）及其感染时间22.7plusmn;3.6）d 相比，明显优于对照组，差异显著（P ＜ 0.05）；观察组并发症发生率（11.4%）较对照组（22.8%），明显较低，差异显著（P ＜ 0.05）。结论: 对ICU 气管切开患者实施综合性护理干预，能有效减少患者肺部感染发生率并缩短感染时间，减少并发症发生率，提高治疗效果。 　　【关键词】护理；气管切开术；肺部感染【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-9753（2016）3-0029-02Intervention of nursing intervention on pulmonary infection of patients with tracheotomy in ICUGe Song (Department of respiratory and critical care medicine, Shangqiu First Peoples Hospital, Shangqiu, Henan 476100,)[Abstract] Objective: To observe the effect of nursing intervention on pulmonary infection in patients with tracheotomy inICU. Methods: 70 cases of tracheotomy in our hospital intensive care unit (ICU) from January 2013 to October 2014 were randomlydivided into the control group and the observation group, 35 cases in each group. The control group and the observation group weregiven routine nursing mode and comprehensive nursing intervention, the two groups of pulmonary infection were recorded, and thecomplications of the two groups were statistically analyzed. Results: in the observation group with pulmonary infection rate (31.4%)and infection (17.3 + 3.2) D and control group infection rate (65.7%) and infection time 22.7 3.6 +) d compared to significantlybetter than the control group, there were significant difference (P lt; 0.05); observation group, the complication rate (11.4%) thanin the control group (22.8%), was significantly lower, the difference was significant (P lt; 0.05). Conclusion: the implementation ofcomprehensive nursing intervention for patients with tracheotomy ICU can effectively reduce the incidence of pulmonary infection andshorten the time of infection, reduce the incidence of complications, improve the treatment effect.[k