集束化护理对重型颅脑外伤患者肺部感染的影响

目的探讨早期建立人工气道后给予集束化护理对重型颅脑外伤患者肺部感染的影响。方法选取2018年2月-2020年2月惠东县人民医院收治的重型颅脑外伤患者150例,按照随机数字表法分为对照组和观察组,每组75例。两组患者均早期建立人工气道,对照组患者接受常规护理措施,观察组患者接受集束化护理措施。比较两组患者的ICU住院时间、住院费用、机械通气时间、肺部感染情况以及肺部感染病死率。结果观察组机械通气时间和ICU住院时间均短于对照组,且观察组ICU住院费用低于对照组,差异均有统计学意义(P<0.05)。观察组肺部感染发生率和肺部感染病死率均低于对照组,差异均有统计学意义(P<0.05)。结论集束化护理应用于重型颅脑外伤患者中,能够明显降低肺部感染发生率及病死率,缩短机械通气时间和住院时间,减少住院费用,改善患者预后,值得临床推广应用。

Effect of cluster nursing on pulmonary infection in patients with severe craniocerebral injury

Objective To explore the effect of cluster nursing after early establishment of artificial airway on pulmonary infection in patients with severe craniocerebral injury.Methods One hundred and fifty patients with severe craniocerebral injury treated in Huidong County People’s Hospital from February 2018 to February 2020 were selected and divided into control group and observation group with 75 cases in each group according to random number table method.Two groups of patients were equipped with early artificial airway,the control group received routine nursing measures,the observation group received cluster nursing measures.The ICU hospitalization time,hospitalization expenses,mechanical ventilation time,pulmonary infection and mortality of pulmonary infection were compared between the two groups.Results The mechanical ventilation time and ICU hospitalization time of the observation group were shorter than those of the control group,and the ICU hospitalization expences of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of pulmonary infection and mortality of pulmonary infection in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of cluster nursing in patients with severe craniocerebral injury could significantly reduce the incidence of pulmonary infection and mortality,shorten the time of mechanical ventilation and hospital stay,reduce hospitalization expenses,and improve the prognosis of patients,which was worthy of clinical promotion and application.