颅脑手术围术期实施预见性护理对肺部感染预防作用研究.docVIP

颅脑手术围术期实施预见性护理对肺部感染预防作用研究 　　[摘要]目的 探讨颅脑手术围术期实施预见性护理对肺部感染的预防作用。方法 选取我院2012年1～12月收治的颅脑手术患者150例为对照组，另选取2013年6月～2014年5月收治的颅脑手术患者200例为观察组，对照组患者接受常规护理，观察组患者接受预见性护理，比较两组患者肺部感染发生率、ICU住院时间、带管时间及总住院时间。结果 观察组肺部感染发生率（14.50%）低于对照组（32.67%），差异有统计学意义（P0.05）。观察组患者ICU住院时间[（20.11±4.58）d]、带管时间[（18.25±4.69）d]、总住院时间[（31.02±4.98）d]均短于对照组[（25.24±5.69）、（22.31±4.08）、（38.44±6.05）d]，差异有统计学意义（P0.05）。结论 颅脑手术围术期实施预见性护理干预可有效降低肺部感染发生率，对促进术后病情康复具有重要意义，值得推广。 　　[关键词]预见性护理；颅脑手术；肺部感染；预防 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-4721（2017）04（c）-0167-03 　　[Abstract]Objective To explore the preventive effect of predictive nursing on pulmonary infection during perioperative period of craniocerebral operation. Methods 150 patients who underwent the craniocerebral operation in our hospital from January to December 2012 were selected as the control group.200 patients who underwent the craniocerebral operation from June 2013 to May 2014 were selected as the observation group.Patients in the control group were received conventional nursing，while patients in the observation group were received predictive nursing care.The incidence of pulmonary infection，length of ICU stays，intubation time，length of hospital stays of two groups were compared.Results The incidence of pulmonary infection in the observation group （14.50%） was lower than that in the control group （32.67%），the difference was statistically significant （P0.05）；the length of ICU stays[（20.11±4.58）d]，intubation time[（18.25±4.69）d]，length of hospital stays [（31.02±4.98）d] in the observation group were shorter than those in the control group[（25.24±5.69），（22.31±4.08），（38.44±6.05）d]，the differences were statistically significant （P0.05）.Conclusion The preventive nursing intervention in perioperative period of craniocerebral operation can effectively reduce the incidence rate of pulmonary infection，and improve postoperative respiratory function status，it is great significance to promote postoperative rehabilitation，thus it is worthy to be promoted. 　　[Key wor