脑卒中并发坠积性肺炎的护理.docVIP

精品论文 参考文献 脑卒中并发坠积性肺炎的护理 （内江市第二人民医院 四川内江 641000） 　　【摘要】目的：探讨脑卒中患者并发坠积性肺炎的护理方法。方法：把 142例脑卒中患者随机分为实验组和对照组，通过成立护理研究小组、确定护理问题、寻找循证支持，并结合患者病情和家属意见，为患者制定出合理可行的护理方案。对照组进行神经内科常规护理，实验组在常规护理的基础上加强口腔和饮食护理。结果：实验组患者并发肺部感染的发生率，平均住院日数和医疗费用低于对照组，患者及家属对护理效果满意度高于对照组。结论：加强口腔护理和饮食护理的方法可有效地预防脑卒中病人并发坠积性肺炎。 　　【关键词】脑卒中；坠积性肺炎；护理 　　【中图分类号】R473.5 【文献标识码】B 【文章编号】1007-8231（2016）19-0200-02 　　 The nursing care of patients with cerebral apoplexy complicated with falling and accumulating pneumonia 　　 Luo Wenqun. The Second Peoples Hospital of Neijiang, Sichuan Province,641000, China 　　【Abstract】Objective To explore the nursing methods of stroke patients complicated with falling accumulation pneumonia. Method 142 cases of stroke patients were randomly divided into experimental group and control group,through the establishment of nursing research group, determine the nursing problems, looking for evidence support, a reasonable and feasible nursing program for patients were developed combined with the patients condition and family members opinions. The experimental group was based on routine nursing, the experimental group was strengthened in oral and diet nursing on the basis of routine nursing. Results In the experimental group, the incidence of pulmonary infection, average hospitalization days and medical expenses were lower than that of the control group, and the satisfaction degree of patients and their families were higher than the control group. Conclusion Oral care and diet nursing can effectively prevent stroke patients complicated with falling and accumulating pneumonia. 　　 【Key words】Cerebral apoplexy;Falling product pneumonia;Nursing 　　吸入性肺炎是脑卒中的常见并发症之一，肺部感染是影响脑卒中患者预后的第一位感染性因素[1]。故加强对脑卒中患者并发吸入性肺炎的护理，是病人能否康复的关键。我们专门就护理如何降低脑卒中患者并发坠积性肺炎的发生率进行研究，现报道如下。 　　1.资料与方法 　　1.1 一般资料 　　选取2015年3月～2016年1月期间我院神经内科住院的脑卒中患者142例作为研究对象。随机分为实验组和对照组，实验组71例中男48例，女23例，平均年龄（59.5plusmn;14.8）岁；脑梗死36例，脑出血35例。对照组男43例，女28例；平均年龄（61.3plusmn;13.6）岁；脑梗死38例，脑出血33例。病例入选标准：所有患者