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目的探讨对ICU重型颅脑损伤患者实施气管切开术后的护理方法及效果。方法随机选取本院2014年1月~2016年12月收治的重型颅脑损伤实施气管切开术的患者40例,分为对照组和观察组,对照组实施常规护理,观察组行针对性护理,对两组患者护理效果作对比分析。结果观察组并发症发生率为10.00%,对照组为25.00%,观察组并发症发生率明显较对照组低(P<0.05);观察组患者拔管时间及ICU住院时间、总住院时间明显较对照组短,差异存在统计学意义(P<0.05)。结论对重型颅脑损伤患者行气管切开术后,必须实施针对性护理方案,能有效降低并发症发生率,促进患者恢复,提前拔管、出院,值得临床进一步推广。
Objective To study the nursing methods and the effects of tracheotomy on ICU patients with severe craniocerebral injury. Methods Forty patients with traumatic brain injury who underwent tracheotomy were selected randomly from January 2014 to December 2016 in our hospital. The patients were divided into control group and observation group. The control group received routine nursing and the observation group received targeted nursing , The two groups of patients for comparative analysis of the effect of care. Results The complication rate was 10.00% in the observation group and 25.00% in the control group. The complication rate in the observation group was significantly lower than that in the control group (P <0.05). The extubation time, ICU stay time and total hospital stay in the observation group were significantly higher than those in the control group The control group was short, the difference was statistically significant (P <0.05). Conclusion After tracheotomy for patients with severe traumatic brain injury, targeted nursing programs must be implemented, which can effectively reduce the incidence of complications, promote the recovery of patients, extubate ahead of time and discharge. It is worth further clinical promotion.