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目的:分析重症颅脑损伤患者气管切开后肺部感染的防治及其护理对策。方法:选取2014年5月—2016年5月间收治的重症颅脑损伤患者气管切开后肺部感染患者60例,将其随机分为对照组和治疗组,每组30例;对照组患者给予氨溴索加乙酰半胱氨酸治疗和常规护理,治疗组患者给予氨溴索加乙酰半胱氨酸治疗和预见性护理,评价两组患者气管切开后肺部感染的发生率和抗感染治疗的防治效果。结果:治疗后,治疗组患者感染的发生率为23.33%低于对照组为76.67%(P<0.05);抗感染治疗后的总有效率为96.67%高于对照组为73.33%(P<0.05)。结论:患者气管切开术后可能并发肺部感染,合理使用抗感染预防治疗和通过湿化气道、加强排痰等护理措施治疗,预防肺部感染的效果较为显著。
Objective: To analyze the prevention and treatment of pulmonary infection after tracheotomy in patients with severe craniocerebral injury and its nursing strategies. Methods: Sixty patients with traumatic pulmonary infection after tracheotomy were selected from May 2014 to May 2016. They were randomly divided into control group and treatment group, 30 cases in each group. Patients in control group Given ambroxol acetylcysteine and routine care, treatment group patients given ambroxol acetylcysteine treatment and predictive care, evaluation of the two groups of patients after tracheotomy the incidence of pulmonary infection and anti Therapeutic effect of infection control. Results: After treatment, the incidence of infection in the treatment group was 23.33% lower than that in the control group (76.67%, P <0.05). The total effective rate after anti-infection treatment was 96.67%, which was significantly higher than that in the control group (73.33%, P <0.05) ). CONCLUSIONS: Pulmonary infection may be complicated by tracheotomy in patients. The prevention and treatment of anti-infection and the prevention of pulmonary infection by wet airway and intensive expectoration may be effective in preventing pulmonary infection.