重症监护病房急性重症脑梗死并发肺部感染患者综合护理效果分析

摘要

Objective To analyze the clinical effect of comprehensive nursing intervention on patients with acute severe cerebral infarction complicated with severe lung infection in intensive care unit (ICU).Methods Totally 120 cases of acute severe cerebral infarction complicated with lung infection from June 2014 to December 2015 in ICU of People's Hospital Affiliated to Hubei University of Medicine were randomly divided into control group and observation group,with 60 cases in each group.The control group was treated with routine nursing intervention;the observation group was treated with comprehensive nursing intervention,including sterile medical management,mouth care,nasogastric feeding,assisted breathing,nutritional support and psychological intervention.Clinical effective rate,lung infection control rate,complication incidence,intensive care duration and life quality score were analyzed between groups.Results In observation group,total effective rate and total lung infection control rate were higher than those in control group [91.7％ (55/60) vs 75.0％ (45/60),90.0％(54/60) vs 73.3％ (44/60)],complication incidence was lower than that in control group[8.3％ (5/60) vs 23.3％ (14/60)],the differences were statistically significant (P ＜0.05).Intensive care duration in observation group(59 cases) was shorter than that in control group (56 cases) [(46 ± 7)h vs (76 ± 11)h] and life quality score was higher than that in control group[(89 ± 8) scores vs (76 ± 12)scores],the differences were statistically significant(P ＜0.05).Conclusion Comprehensive nursing intervention for patients with acute severe cerebral infarction complicated with lung infection in ICU can significantly improve clinical effectiveness and lung infection control condition;it can reduce the incidence of complications and the duration of intensive care.%目的 探讨综合护理干预重症监护病房(ICU)急性重症脑梗死并发肺部感染患者的临床效果.方法 选取2014年6月至2015年12月湖北医药学院附属人民医院ICU收治的急性重症脑梗死并发肺部感染患者120例,采用随机数字表法分为对照组和观察组,各60例.对照组给予常规护理干预,观察组患者在对照组基础上给予无菌、口腔、吸痰及心理、呼吸机及鼻胃、药物及营养等综合护理干预,比较2组患者的治疗效果、肺部感染控制率、并发症发生率、重症监护时间及生活质量.结果 观察组患者治疗总有效率和总肺部感染控制率明显高于对照组[91.7％ (55/60)比75.0％(45/60)、90.0％(54/60)比73.3％(44/60)],并发症发生率明显低于对照组[8.3％ (5/60)比23.3％(14/60)],差异均有统计学意义(均P＜0.05).观察组患者(59例)重症监护时间明显低于对照组(56例)[(46±7)h比(76±11)h],生活质量评分明显高于对照组[(89±8)分比(76±12)分],差异均有统计学意义(均P＜0.05).结论 综合护理干预ICU急性重症脑梗死并发肺部感染患者能明显提高患者的治疗有效率和肺部感染控制率,降低各种并发症的发生,减少重症监护时间,提高患者的生活质量.