摘要
目的探讨术后综合护理对颅脑损伤患者坠积性肺炎及预后的影响。方法将本院收治的80例颅脑损伤的患者随机分为观察组和对照组,对照组术后给予常规护理,观察组术后优化常规护理措施,实施综合护理预防坠积性肺炎,比较2组的呼吸道护理情况、坠积性肺炎的发生率及预后。结果观察组术后第2天、第4天、第6天时的排痰量多于对照组,痰液粘稠程度好于对照组,呼吸困难评分低于对照组,差异有统计学意义(P<0.05);观察组坠积性肺炎的发生率低于对照组,随访时的GCS评分高于对照组,预后好于对照组,差异有统计学意义(P<0.05)。结论术后综合护理能够提高颅脑损伤患者的排痰效果,减少坠积性肺炎的发生,改善预后。
Objective To investigate the effect of postoperative comprehensive nursing on the hypostatic pneumonia and prognosis of patients with traumatic brain injury. Methods A total of 80 craniocerebral injury patients were randomly divided into observation group and control group, the control group was given routine nursing, and the observation group was given postoperative compre- hensive nursing to prevent hypostatic pneumonia, nursing condition of respiratory tract, hypostatic pneumonia and prognosis were compared. Results Sputum amount after the 2 d, 4 d, 6 d in the ob- servation group was more than that in the control group, the sputum viscous degree was better than that in the control group, the dyspnea score was lower than that in the control group, and the differ- ences were statistically significant （ P 〈 0.05 ）. The incidence of pneumonia in the observation group was lower than that in the control group, the GCS score in follow-up period was higher than that in the control group, the prognosis was better than that in the control group （ P 〈 0.05 ）. Conclusion Post- operative comprehensive nursing can improve the effect of sputum drainage in patients with craniocere- bral injury, reduce the incidence of hypostatic pneumonia, and improve the prognosis.
出处
《实用临床医药杂志》
CAS
2016年第16期102-105,共4页
Journal of Clinical Medicine in Practice
关键词
术后综合护理
颅脑损伤
坠积性肺炎
预后
postoperative comprehensive nursing
brain injury
hypostatic pneumonia
prognosis
