老颅脑损伤患者气管切开术后的临床护理.doc

老年颅脑损伤患者气管切开术后的临床护理 【摘要】目的：观察老年颅脑损伤患者气管切开术后不同的气道护理方法的临床效果。方法：总结我院收治老年颅脑损伤患者52例资料，随机分为两组，术后持续滴入湿化气道护理的26例资料为观察组，间断雾化湿化气道护理的26例资料为对照组，护理后统计两组患者氧分压、二氧化碳分压、碱剩余和肺部感染情况，最后讨论老年颅脑损伤患者气管切开术后的临床护理方法。结果：观察组护理后氧气分压（74.5±4.8），二氧化碳分压（37.2±3.3），碱剩余（1.5±1.2），明显优于对照组统计资料（P0.05），另外，观察组有6例出现肺部感染情况（23.1%），明显低于对照组（P0.05）。结论：老年颅脑损伤患者气管切开术后给予氧气面罩吸氧基础上采取持续滴入湿化气道护理方法具有满意的效果。 【关键词】老年，颅脑损伤，气管切开 Clinical nursing care of elder patients after tracheotomy in craniocerebral injuries [Abstract]Objective: To observe the effect of Clinical nursing care of elder patients after tracheotomy in craniocerebral injuries. Method:summarizing 52 cases of patients in our hospital from data of aged patients with craniocerebral injury, were randomly divided into two groups, 26 cases of postoperative continuous drip into the wet airway nursing as observation group, 26 cases data of intermittent atomization humidification of airway nursing as control group, nursing after statistics of two groups of patients, two of oxygen partial pressure of oxygen partial pressure of carbon, base excess and pulmonary infection. Results: the observation group after the treatment of oxygen partial pressure (74.5 ± 4.8), partial pressure of carbon dioxide (37.2 ± 3.3), base excess (1.5 ± 1.2), significantly better than the control group (P0.05) statistics, in addition, the observation group had 6 cases of lung infection (23.1%), significantly lower than the control group (P 0.05). Conclusion: Patients with tracheotomy craniocerebral injury in the elderly after oxygen mask oxygen taken on the basis of continuous dripping wet airway nursing method has satisfactory effect. [Keywords]old age, traumatic brain injury, tracheotomy 颅脑损伤属于创伤性损伤的一种，临床具有较高的病死率，对于老年患者来讲，由于该类人群多合并其他并发症，颅脑损伤后多病情危重甚至出现昏迷和意识模糊表现，气管切开缓解呼吸道阻塞，改善患者的通气能力是首要措施，并且，对该类患者术后的护理是提高患者生命质量的关键[1-2]，为了观察老年颅脑损伤患者气管切开术后不同的气道护理方法的临床效果，笔者回顾性总结我院收治老年颅脑损伤患者52例资料，现将结果报道如下： 1资料与方法 1.1临床资料 本研究资料对象来自于2011年4月-2013年5月期间在我院治疗的老年颅脑损伤患者52例资料，其中包括男性35例，女性17例，年龄范围为42岁-70岁，平均年龄为（56.7±12.3）岁。所有患