论文部分内容阅读
目的探讨护理策略应对颅脑损伤气管切开患者坠积性肺炎的预防效果。方法将80例颅脑损伤气管切开的患者随机分为对照组和观察组各40例,对照组给予常规护理,观察组制定护理策略应对,比较2组的排痰情况、坠积性肺炎的发生率以及预后。结果观察组术后第2、4、6天时的排痰量多于对照组,痰液粘稠程度好于对照组,呼吸困难评分低于对照组,差异有统计学意义(P<0.05);观察组坠积性肺炎的发生率低于对照组,随访时的GCS评分高于对照组,预后好于对照组,差异有统计学意义(P<0.05)。结论护理策略能够有效减少颅脑损伤气管切开患者坠积性肺炎的发生,改善预后。
Objective To investigate the preventive effect of nursing strategies on hypostatic pneumonia in patients with traumatic brain injury. Methods Eighty patients with traumatic brain injury were randomly divided into control group and observation group, 40 cases in each group. The control group was given routine care. The observation group was given nursing strategies to deal with. The sputum excretion, hypostatic pneumonia Incidence and prognosis. Results The sputum volume of the observation group was more than that of the control group on the 2nd, 4th and 6th day after operation. The viscous degree of sputum was better than that of the control group, and the score of dyspnea was lower than that of the control group. The difference was statistically significant (P <0.05). The incidence of hypostatic pneumonia in the observation group was lower than that in the control group. The GCS score at follow-up was higher than that in the control group, and the prognosis was better than that in the control group. The difference was statistically significant (P <0.05). Conclusion Nursing strategy can effectively reduce the incidence of TS in patients with traumatic brain injury and improve the prognosis.