临床合理用药杂志
臨床閤理用藥雜誌
림상합리용약잡지
CHINESE JOURNAL OF CLINICAL RATIONAL DRUG USE
2015年
16期
16-17
,共2页
重型颅脑损伤%气管切开%护理干预%临床效果
重型顱腦損傷%氣管切開%護理榦預%臨床效果
중형로뇌손상%기관절개%호리간예%림상효과
Severe brain injury%Tracheotomy%Nursing interventions%Clinical effects
目的：观察重型颅脑损伤患者气管切开后护理干预的临床效果。方法将重型颅脑损伤行气管切开的患者120例随机分为观察组和对照组各60例，对照组给予常规护理，观察组给予护理干预。比较2组患者气管套管拔除时间、感染控制时间、GCS评分、并发症情况。结果观察组气管套管拔除时间、感染控制时间均短于对照组；治疗后2组GCS评分均高于治疗前，且观察组高于对照组；观察组并发症发生率低于对照组，差异均有统计学意义（P＜0．05）。结论气管切开护理干预可提高护理水平，促进患者康复，降低并发症发生率。
目的：觀察重型顱腦損傷患者氣管切開後護理榦預的臨床效果。方法將重型顱腦損傷行氣管切開的患者120例隨機分為觀察組和對照組各60例，對照組給予常規護理，觀察組給予護理榦預。比較2組患者氣管套管拔除時間、感染控製時間、GCS評分、併髮癥情況。結果觀察組氣管套管拔除時間、感染控製時間均短于對照組；治療後2組GCS評分均高于治療前，且觀察組高于對照組；觀察組併髮癥髮生率低于對照組，差異均有統計學意義（P＜0．05）。結論氣管切開護理榦預可提高護理水平，促進患者康複，降低併髮癥髮生率。
목적：관찰중형로뇌손상환자기관절개후호리간예적림상효과。방법장중형로뇌손상행기관절개적환자120례수궤분위관찰조화대조조각60례，대조조급여상규호리，관찰조급여호리간예。비교2조환자기관투관발제시간、감염공제시간、GCS평분、병발증정황。결과관찰조기관투관발제시간、감염공제시간균단우대조조；치료후2조GCS평분균고우치료전，차관찰조고우대조조；관찰조병발증발생솔저우대조조，차이균유통계학의의（P＜0．05）。결론기관절개호리간예가제고호리수평，촉진환자강복，강저병발증발생솔。
Objective To investigate the clinical effect of nursing intervention in patients with severe brain injury af-ter tracheal incision .Methods 120 cases patients with severe brain injury after tracheal incision were randomly divided into observation group and control group ,each of 60 cases.Control group received usual care ,observation group was given nursing intervention.Compared the tracheal tube removal time ,infection control time,GCS score,complications of two groups.Results The tracheal tube removal time and infection control time were shorter than those of control group ;the GCS score after treat-ment of two group were higher than that before treatment ,and observation group was higher than that of control group;the com-plication rate of observation group than that of control group ,the difference were statistically significant (P<0.05).Conclu-sion Tracheostomy care intervention can improve the level of care ,promote the rehabilitation of patients and reduce the inci-dence of complications .
