预见性护理对高位颈椎骨折伴颈髓损伤患者肺部感染的预防作用  

Effect of predictive nursing on prevention of pulmonary infection in patients with high cervical spine fractures and cervical spinal cord injury

作　　者：刘静[1] 李士光[1] 魏淑菊[1] 杨守群 

机构地区：[1]山东省莱芜市人民医院骨一科,山东莱芜271100 [2]山东省莱芜市莱城区口镇中心卫生院,山东莱芜271100

出　　处：《实用临床医药杂志》2016年第18期117-120,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨预见性护理对高位颈椎骨折伴颈髓损伤患者肺部感染的预防作用。方法随机选取80例高位颈椎骨折伴颈髓损伤患者分为对照组和观察组,对照组实施常规护理方式,观察组实施预见性护理方式,比较2组患者护理后效果。结果观察组肺部感染的发生率为5.0%,其中肺不张、肺水肿分别为2.5%、2.5%,对照组肺部感染的发生率为30.0%,其中肺不张、肺栓塞、肺水肿、肺炎分别为12.5%、7.5%、7.5%、2.5%,2组差异有统计学意义(P<0.05)。结论对高位颈椎骨折伴颈髓损伤患者实施预见性护理措施能够显著降低患者肺部感染发生率,提高患者的生存质量。Objective To explore effect of predictive nursing on prevention of pulmonary in- fection in patients with high cervical spine fractures and cervical spinal cord injury. Methods A to- tal of 80 high cervical spine fracture patients with cervical spinal cord injury were randomly divided into control group and observation group, the control group was given routine nursing, and observation group was given predictive nursing, nursing efficacy of the patients in the two groups was compared after nursing. Results Pulmonary infection rate in the observation group was 5.0%, among which pulmonary atelectasis was 2.5% and pulmonary edema was 2.5%. Pulmonary infection rate in the control group was 30.0%, among which pulmonary atelectasis was 12.5%, pulmonary embolism was 7.5%, pulmonary edema was 7.5 % , and pneumonia was 2.5 % （ P 〈 0.05 ）. Conclusion The pre- dictive nursing measures for high cervical spine fracture patients with cervical spinal cord injury can significantly reduce the incidence of pulmonary infection, and improve the quality of life and the level of nursing.

关 键 词：高位颈椎骨折 颈髓损伤 预见性护理 肺部感染 

分 类 号：R473.6[医药卫生—护理学]