早期高压氧对重症脑卒中气管切开患者护理效果的影响  

Effect of early hyperbaric oxygen on nursing effect of patients with severe stroke tracheotomy

作　　者：李瑾[1] 李付云[1] LI Jin;LI Fuyun(The Second People's Hospital of Jiaozuo,Jiaozuo 454000,China)

机构地区：[1]焦作市第二人民医院,河南焦作454000

出　　处：《中国实用神经疾病杂志》2019年第24期2765-2771,共7页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨重症脑卒中昏迷患者气管切开后早期行高压氧舱内治疗时的最佳供氧方式和护理,保证患者的治疗安全,提高治疗效果。方法选取2018-02—2019-03焦作市第二人民医院治疗的96例重症脑卒中患者,随机分数表法分为对照组和观察组各48例,2组均给予常规内科治疗及气管切开护理,对照组给予管道氧气吸入,观察组实施高压氧舱,采用烟台宏远16人空气加压舱,重症脑卒中气管切开重症昏迷患者早期行高压氧治疗过程中选择合适的供氧方式,保持呼吸道通畅。结果治疗前2组GCS评分、呼吸道感染、住院时间、生活质量评分、认知功能比较差异无统计学意义(P>0.05);治疗后,观察组GCS评分、生活质量评分、认知功能评分均明显高于对照组,住院时间少于对照组,呼吸道感染发生率低于对照组,差异均有统计学意义(P<0.05)。结论重症脑卒中气管切开患者早期接受高压氧治疗,可提高治疗效果,做好各个阶段的护理是确保高压氧治疗效果的根本。Objective To investigate the best oxygen supply method and care for patients with severe stroke and coma during tracheotomy in the early stage of hyperbaric oxygen chamber treatment to ensure the safety of patients and improve the treatment effect.Methods A total of 96 patients with severe stroke from February 2018 to March 2019 were randomly divided into two groups of 48 cases.Both groups were given conventional medical treatment and tracheotomy care.The control group was given pipe oxygen inhalation,and the observation group was given a hyperbaric oxygen chamber.The 16-person air compression chamber of Yantai Hongyuan was used.Patients with severe stroke tracheotomy and severe coma.In the early course of hyperbaric oxygen therapy,the appropriate oxygen supply method was selected,keeping the airway open.Results The consciousness,respiratory tract infection,length of hospital stay,and quality of life scores of the two groups were compared before and after the treatment.The GCS score,respiratory infection,length of hospital stay,quality of life score,and cognitive function of the two groups before treatment were not statistically significant(P>0.05).After treatment,the GCS score of the observation group was higher than that of the control group,and respiratory infection and quality of life scores were higher.The cognitive function score was significantly higher than the control group,and the length of hospital stay was lower than the control group,which was statistically significant(P<0.05).Conclusion Patients with severe stroke tracheotomy who receive hyperbaric oxygen treatment early,improve the treatment effect,and do a good job of nursing at all stages is the basis to ensure the effect of hyperbaric oxygen treatment.

关 键 词：重症脑卒中 气管切开 高压氧治疗 

分 类 号：R473.74[医药卫生—护理学]