脑卒中并发吸入性肺炎的危险因素及护理干预  

Stroke Complicated by the Risk Factors of Aspiration Pneumonia and Nursing Intervention

作　　者：吴明[1] 朱列和[2] 

机构地区：[1]惠州市第一人民医院,广东惠州516003 [2]惠州市中心人民医院,广东惠州516001

出　　处：《中国医药指南》2012年第24期29-30,共2页Guide of China Medicine

摘　　要：目的本文主要探讨脑卒中并发吸入性肺炎患者的危险因素以及护理干预对策。方法随机选择自2010年11月至2011年4月这一时期来我院就诊的80例脑卒中合并吸入性肺炎的患者为研究对象进行分析,分成数目相等的两组,对所有患者都施行神经科治疗和常规护理,研究组还根据患者的年龄、意识、心理、饮食、卧位等吸入性肺炎的危险因素进行积极的护理干预,而对照组进行洼田饮水试验进行观察,后观察护理和治疗疗效。结果研究组40例患者中33例患者经过有效的治疗和护理后在6～12 d内患者的体温恢复正常,并经X射线检测胸部的肺炎也好转,患者体内的白细胞总数正常。36例患者经过治疗3～4周后因为好转出院,4例患者因为脑脑梗死而抢救无效死亡。而对照组的40例患者25例患者在3～4周好转出院,24例患者经过治疗在6～12d出现好转,体温正常。两组差异存在显著性差异。结论准确掌握患者的吸入性肺炎的危险因素并根据其因素对其进行针对性的干预护理能有效降低这类患者的病死率,提高治愈率,提高患者的生活质量。Objective This article focuses on stroke complicated by aspiration pneumonia in patients with risk factors, and nursing intervention Methods 80 cases of stroke patients with inhalation pneumonia patients to our hospital from November 2010 to April 2011 were analyzed for the study, divided into two groups of equal number, the implementation of all patientsneurology treatment and routine care, the study group according to risk factors of aspiration pneumonia in the patient＇s age, consciousness, psychology, diet, lying active nursing intervention in the control group for depression Tian water drinking test were observed, after observation careand treatment efficacy. Results The study group of 40 patients, 33 patients after effective treatment and care in the 6 d -12 d the patient＇s body temperature returned to normal, and X-ray inspection chest pneumonia improved, normal WBC count of patients in vivo. 36 patients improved and discharged after three weeks to four weeks after treatment, 4 patients because of the brain with cerebral infarction and rescue died. Control group of 40 patients, 25 patients were discharged in 3-4 weeks improved, 24 patients improved after treatment in the 6-12d, the temperature is normal. The difference between the two groups there was a significant difference. Conclusion The accurate knowledge of the risk factors in patients with aspiration pneumonia and targeted interventions care can effectively reduce the mortality of these patients according to their factors to improve the cure rate and improve the quality of life of patients.

关 键 词：脑卒中 吸入性肺炎 高危因素 干预护理 

分 类 号：R473.5[医药卫生—护理学] R473.74[医药卫生—临床医学]