应用循证护理对重型颅脑损伤机械通气患者肺部感染的干预  

Effect of evidence-based nursing intervention on pulmonary infection of patients with severe traumatic brain injury undergoing mechanical ventilation

作　　者：石庆芬[1] 梁玉桃[1] 杜雪芬[1] 马龙梅[1] 

机构地区：[1]南宁市第二人民医院神经外科,广西530031

出　　处：《中国临床新医学》2010年第10期1009-1010,共2页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨重型颅脑损伤机械通气患者呼吸道管理的最佳方法,降低肺部感染的发生率。方法将90例重型颅脑损伤机械通气患者随机分为观察组和对照组各45例。观察组从吸痰时机、吸痰方式、呼吸机管路更换周期、口腔护理等问题进行相关文献查询,寻找实证,用实证对病人实施护理;对照组按常规进行呼吸道管理,比较两组肺部感染发生情况。结果观察组效果明显优于对照组(P<0.05)。结论运用循证护理指导临床实践,能有效降低重型颅脑损伤机械通气患者肺部感染的发生率。Objective To investigate the best way of airway management for the patients with severe trau- matic brain injury undergoing mechanical ventilation and rcducc the incidence of pulmonary infection. Methods Ninety patients with severe traumatic brain injury undergoing mechanical ventilation were randomly divided into obser- vation group and control group with 45 cases in each group. In the observation group the related literature query were performed,looking from suction, suction mode,ventilator pipe replacement cycle, oral care and other issues looking for evidence, and carrying out nursing intervention on the patients using the empirical evldence;the control group re- ceived conventional respiratory management. And the conditions of pulmonary infection in two groups were compared. Results The effects of the observation group were better than that of the control group （P 〈 0. 05 ）. Conclusion The use of evidence-based nursing in clinical practice can effectively reduce the incidence of pulmonary infection of the patients with severe traumatic brain injury undergoing mechanical ventilation.

关 键 词：循证护理 重型颅脑损伤 机械通气 肺部感染 干预 

分 类 号：R651.1[医药卫生—外科学]