重型颅脑损伤患者气管切开术后护理的的体会.docVIP

重型颅脑损伤患者气管切开术后护理的的体会 　　【摘要】 目的 对重型颅脑损伤患者行气管切开术治疗的护理要点进行分析。方法 98例行气管切开治疗的重型颅脑损伤患者， 按照入院先后顺序分为为观察组和对照组， 各49例。观察组给予针对性护理， 对照组仅给予常规方式护理。比较两组患者治疗情况。结果 观察组中无死亡病例， 对照组死亡5例（10.20%）。观察组死亡率低于对照组， 差异具有统计学意义 （χ2=5.269， P0.05）。观察组治疗中6例（12.24%）出现肺部感染， 5例（10.20%）出现导管阻塞， 不良反应发生率为22.45%；对照组治疗中17例（34.69%）出现肺部感染， 14例（28.57%）出现导管阻塞， 不良反应发生率为63.27%；观察组不良反应发生率明显低于对照组， 差异具有统计学意义 （χ2=16.667， P0.05） 。结论 对气管切开治疗重型颅脑损伤患者实施针对性护理， 可实现对术后并发症的有效控制， 帮助其稳定病情， 对于后期治疗具有重要意义。 　　【关键词】 重型颅脑损伤；气管切开；护理效果 　　DOI：10.14163/j.cnki.11-5547/r.2016.32.082 　　Nursing experience after tracheotomy in severe craniocerebral injury patients WAN Shan-shan. Liaoning Changtu County Central Hospital， Tieling 112599， China 　　【Abstract】 Objective To analyze key point in experience after tracheotomy in severe craniocerebral injury patients. Methods A total of 98 patients with severe craniocerebral injury， who received tracheotomy， were divided by admission order into observation group and control group， with 49 cases in each group. The observation group received targeted nursing， and the control group received conventional nursing measures. Treatment conditions were compared between the two groups. Results The observation group had no death case， and the control group had 5 death cases （10.20%）. The observation group had lower death rate than the control group， and the difference had statistical significance （χ2=5.269， P0.05）. The observation group had 6 cases （12.24%） with pulmonary infection and 5 cases （10.20%） with tube obstruction， with incidence of adverse reactions as 22.45%. The control group had 17 cases （34.69%） with pulmonary infection and 14 cases （28.57%） with tube obstruction， with incidence of adverse reactions as 63.27%. The observation group had obviously lower incidence of adverse reactions than the control group， and the difference had statistical significance （χ2=16.667， P0.05）. Conclusion Implement of targeted nursing for severe craniocerebral injury patients can effectively control postoperative com