呼吸道护理在重症颅脑损伤患者术后护理中的应用效果  

The Effect of Respiratory Care in Postoperative Nursing of Patients with Severe Craniocerebral Injury

作　　者：冯超 FENG Chao(Department of Critical Care Medicine,Fuxin Mining General Hospital,Liaoning Health Industry Group,Fuxin 123000,China)

机构地区：[1]辽宁省健康产业集团阜新矿总医院重症医学科,阜新123000

出　　处：《中国医药指南》2024年第16期159-162,共4页Guide of China Medicine

摘　　要：目的 探究将呼吸道护理应用在重症颅脑损伤患者术后护理中的效果。方法 将2022年5月至2023年12月来我院接受治疗的88例重症颅脑损伤患者,通过随机数字表法分为观察组和对照组,均为44例。对照组以常规护理进行干预,观察组在常规护理基础上开展呼吸道护理,对两组患者的康复指标、护理前后的急性生理与慢性健康评分(APACHEⅡ)、格拉斯哥昏迷评分(GCS)、并发症发生率等进行统计和对比。结果 观察组的康复指标(吸痰时间、每日吸痰次数、每日排痰量、ICU住院时间、机械通气时间、氧分压、动脉血氧饱和度)优于对照组(P<0.05)。护理前,两组患者APACHEⅡ评分、GCS评分差异无统计学意义(P>0.05);护理后,观察组的APACHEⅡ评分更低,GCS评分高于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论 将呼吸道护理应用在重症颅脑损伤患者的术后护理之中能有效地改善患者的康复效果,改善患者的意识状况,减少出现并发症的风险。Objective To investigate the effect of applying respiratory care in the postoperative care of patients with severe craniocerebral injury.Methods A total of 88 patients with severe craniocerebral injury who came to our hospital for treatment from May 2022 to December 2023 were divided into the observation group and the control group by the method of randomized numerical table,both of which were 44 cases.The control group was intervened with conventional nursing care,while the observation group carried out respiratory care on the basis of conventional nursing care,and statistics and comparisons were made on the recovery indexes,acute physiological and chronic health scores(APACHE Ⅱ),Glasgow Coma Score(GCS),and the complication rates of the two groups before and after nursing care.Results The rehabilitation indexes(sputum suction time,number of sputum suction per day,volume of sputum expectoration per day,ICU hospitalization time,mechanical ventilation time,partial pressure of oxygen,and arterial oxygen saturation) of the observation group were better than those of the control group(P<0.05).Before care,the differences in APACHE Ⅱ scores and GCS scores between the two groups were not statistically significant(P>0.05);after care,APACHE Ⅱ scores in the observation group were lower and GCS scores were higher than those in the control group(P<0.05).The complication rate of the observation group was lower than that of the control group(P<0.05).Conclusions The application of respiratory care in the postoperative care of patients with severe craniocerebral injury can effectively improve the rehabilitation effect of patients,improve their consciousness and reduce the risk of complications.

关 键 词：重症颅脑损伤 呼吸道护理 术后护理 并发症 意识 

分 类 号：R651.15[医药卫生—外科学] R473.6[医药卫生—临床医学]