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完全性颈段脊髓损伤患者术后呼吸道管理的循证护理策略分析
引用本文:凌云霞,何玲萍,郭建梅,商艳霞,王瑜. 完全性颈段脊髓损伤患者术后呼吸道管理的循证护理策略分析[J]. 护理管理杂志, 2013, 13(6): 412-414
作者姓名:凌云霞  何玲萍  郭建梅  商艳霞  王瑜
作者单位:成都军区昆明总医院护理部,昆明市,650032
摘    要:目的探讨循证护理在完全性颈段脊髓损伤患者术后呼吸道管理中的应用效果。方法对符合标准的200例完全性颈段脊髓损伤患者术后呼吸道管理实施循证护理,与实施传统护理的160例患者进行对照,比较两组患者呼吸道并发症的发生率、拔管时间和气道湿化程度。结果干预组患者呼吸道并发症的发生率明显低于对照组(P〈0.01),拔管时间缩短,气道湿化程度好(P〈0.01)。结论对完全性颈段脊髓损伤患者术后呼吸道管理实施循证护理,可减少并发症,缩短拔管时间,改善气道湿化状况,可在临床推广应用。

关 键 词:循证护理  完全性颈段脊髓损伤  并发症  呼吸道管理

Strategic analysis of evidence-based nursing in postoperative respiratory management for complete cervical spinal cord injury patients
LING Yun-xia , HE Ling-ping , GUO Jian-mei , SHANG Yan-xia , WANG Yu. Strategic analysis of evidence-based nursing in postoperative respiratory management for complete cervical spinal cord injury patients[J]. Journal of Nursing Administration, 2013, 13(6): 412-414
Authors:LING Yun-xia    HE Ling-ping    GUO Jian-mei    SHANG Yan-xia    WANG Yu
Affiliation:Nursing Department, Kunming General Hospital of Chengdu Military Region, Kunming 650032, China
Abstract:Objective To explore the application and effects of evidence - based nursing in postoperative respiratory management for complete cervical spinal cord injury patients. Methods Totally ,200 complete cervical spinal cord injury patients were treated with evidence - based nursing in postoperative respiratory management,and 160 patients were treated with traditional care. The incidence of respiratory complications, extubation time, airway humidification degree were compared between the two groups. Results Respiratory complications of experimental group was significantly lower than the control group ( P 〈 0.01 ) , the extubation time was shortened and the degree of airway humidification degree was better (P 〈 0.01 ). Conclusion Appfication of evidence - based nursing in postoperative respiratory management for complete cervical spinal cord injury patients can reduce complications, shorten extubation time,improve the condition of airway humidification, and can be used in clinical practice.
Keywords:evidence-based nursing  complete cervical spinal cord injury  complication  respiratory management
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