重型颅脑损伤患者气管切开术后应用集束化策略的临床探讨  

Clinical application of cluster nursing in patients with severe craniocerebral injury after tracheotomy

作　　者：王芳[1] 蒋晓燕[1] 王洁[1] 赵红[1] 

机构地区：[1]江苏省常熟市第二人民医院神经外一科,江苏常熟215500

出　　处：《中西医结合护理（中英文）》2015年第3期83-84,120,共3页Journal of Clinical Nursing in Practice

摘　　要：目的讨论重型颅脑损伤患者气管切开术后应用集束化策略的临床效果。方法选择60例重型颅脑损伤实施气管切开术的患者,随机划分为观察组及对照组,每组30例。对照组行常规护理,观察组在对照组基础上实施集束化护理。结果经过护理后,观察组及对照组患者的血清C-反应蛋白(CRP)、降钙素原(PCT)比较差异有统计学意义(P<0.05)。观察组误吸、出血、痰痂及并发症率与对照组相比,差异有统计学意义(P<0.05),观察组优于对照组。结论实施集束化策略能减少重型颅脑损伤气管切开术后患者的并发症,稳定患者各项指标,促进患者身体情况的巩固。Objective To discuss the effect of cluster nursing in patients with severe cranio- cerebral injury after tracheotomy. Methods A total of 60 cases with severe craniocerebral injury after tracheotomy in our hospital were randomly divided into observation group and control group, with 30 cases in each group. The control group received conventional nursing and the observation group imple- mented cluster nursing based on the control group. Results After nursing, the differences in CRP and PCT in the two group were statistically significant （ P 〈 0.05 ）. The error aspiration, bleeding, sputum scab, and complication rate in the observation group were better than that in the control group, which showed significant differences （P 〈 0.05 ）. Conclusion The implementation of cluster nursing can reduce the complications of patients, stabilize indicators of the patients, and consolidate the pa- tient＇s physical condition.

关 键 词：重型颅脑损伤 气管切开 集束化 护理 

分 类 号：R473.6[医药卫生—护理学]