护理干预对重度颅脑损伤患者气管切开并发症的影响效果观察

目的 观察分析护理干预对重度颅脑损伤患者气管切开并发症的治疗效果影响.方法 筛选分析我院自2008年11月至2011年5月收治的98例重度颅脑损伤气管切开病患,男59例,女39例,随机平均分为实验组与对照组.实验组49例,在常规治疗上进行严格护理干预；对照组49例,单进行常规治疗和必要护理.统计对比所有病患的住院时间、并发肺部感染率、合并呼吸道损伤、皮下气肿、死亡率和治疗效果等.结果 实验组总有效率为77.6％( 38/49),对照组总有效率为46.9％(23/49),差异有统计学意义(P＜0.05)；实验组在住院时间、肺部感染、呼吸道损伤、皮下气肿、死亡率数据都优于对照组(P＜0.05).结论 护理干预对重度颅脑损伤患者气管切开并发症的治疗具有较大帮助,值得推广和应用.

Effect of nursing intervention for tracheotomy-associated complications in patients with severe brain injury

Objective To observe of the effect of nursing intervention for tracheotomy-associated complications in patients with severe brain injury. Methods 98 patients （ 59 males and 39 females ） with severe brain injury who had received tracheotomy in our hospital during November 2009 to May 2011 were randomly divided into two groups, 49 for each group. The study group received strict nursing intervention on the basis of routine treatment; while the control group received routine treanment along with necessary nursing. Length of hospital stay, rates of pulmonary infections, respiratory tract injury, subcutaneous emphysema, and death, and efficacy were compared between the two groups. Results The total effectiveness rate was 77.6% （ 38/49 ） in the study group and 46.9% （ 23/49 ） in the control group （ P 〈 0.05 ）. The study group was superior to the control group in length of hospital stay and rates of pulmonary infections, respiratory tract injury, subcutaneous emphysema, and death （ P 〈 0.05 ）. Conclusions Nursing intervention is of great helpful in the treatment of tracheotomy-associated complications in patients with severe brain injury. It is worth popularizing.