探讨脑外科气管切开术后并发症的预防及护理.docVIP

精品论文 参考文献 探讨脑外科气管切开术后并发症的预防及护理 陈新琴 （四川省内江市威远县人民医院 642450） 　　【摘要】目的 探讨脑外科气管切开术后并发症的预防及护理。方法 选取我科收治的脑出血气管切开的患者112例进行分析研究，随机将其分为两组，一组患者实施常规的护理措施，另一组患者针对肺部感染发生原因的有效护理干预措施，比较两组患者的肺部感染发生率以及住院时间。结果 观察组患者实施相关肺部感染的护理干预措施后患者的肺部感染发生率低于对照组，而住院时间也短于对照组，经比较具有显著差异（P＜0.05）。结论 对于脑外科患者气管切开术后的护理能够明显的降低肺部感染的发生率，与肺感染具有密切的关系，如护理不当提高肺部感染并发症的发生，影响治疗效果，延长患者的住院时间。 　　【关键词】脑外科 气管切开 肺感染 护理干预 　　【中图分类号】R473 【文献标识码】A 【文章编号】1672-5085（2013）40-0008-02 　　【Abstract】To investigate the prevention and nursing of complications after tracheotomy in Department of cerebral surgery. Methods: Patients with incision of trachea in 112 cases were analyzed in our department were cerebral hemorrhage,and were randomly divided into two groups, the implementation of routine nursing measures in a group of patients, another group of patients for effective nursing intervention causes lung infection, compared two groups of patients with lung infection rate and hospitalization time. Results: the incidence of pulmonary infection in patientswas lower than that in the control group, nursing intervention measures of lung infection patients, and length of hospital stay was shorter than the control group, by comparison with significant difference (P lt; 0.05). Conclusion: the nursing in Department of cerebral surgery patients after tracheotomy can significantly reduce the incidence of pulmonary infection, has close relationship with pulmonary infection,such as improper nursing to improve pulmonary infection, affect the treatment effect,prolonged hospitalization. 　　【Key words】Department of cerebral surgery nursing intervention of pulmonary infectionafter tracheotomy 　　1 资料和方法 　　1.1一般资料：选取我科收治的脑外科气管切开的患者112例进行分析研究，其中男性患者67例，女性患者45例，年龄在42~89岁，平均年龄为67.38plusmn;4.39岁。使用呼吸机治疗的患者有89例，未使用呼吸机治疗的患者有23例，随机将其分为两组，一组患者实施常规的护理措施，另一组患者针对肺部感染并发症实施有效护理干预措施，比较两组患者年龄、性别、病情、治疗等一般资料无显著差异（P＞0.05）具有可比性。 　　1.2方法：对照组患者实施常规的护理措施，观察组患者针对肺部感染并发症实施有效护理干预措施： 　　（1）体位护理：对于长期卧床的患者，加强患者生活护理，定时