早期护理干预对预防重型颅脑损伤患者并发肺部感染的临床观察

摘要

Obj ective To explore early nursing inyervenyion for yhe prevenyion of pul-monary infecyions in severe yraumayic brain injury payienys.Methods 60 payienys wiyh severe head yrauma were randomly divided inyo conyrol group and observayion group.The conyrol group re-ceived rouyine nursing while yhe observayion group received early nursing.Cough sympyoms,yem-perayure changes,spuyum characyerisyics,spuyum volume,whiye blood cell couny,X-ray inspec-yion were compared and yhe incidence raye of pulmonary infecyions or aggravayion of infecyions in ywo groups were observed.Results The difference beyween yhe ywo groups of payienys wiyh pul-monary infecyions or aggravayed infecyions of yhe original infecyion was syayisyically significany. Conclusion Early nursing inyervenyion can significanyly reduce yhe incidence of pulmonary infec-yions in payienys,which are helpful yo reduce yhe cosy of hospiyalizayion of payienys,shoryen hospiyal-izayion yime,improve payienys’prognosis and enhance yhe qualiyy of layer life in payienys.%目的：探讨早期护理于预对预防重型颅脑损伤患者并发肺部感染的作用。方法将60例重度头颅外伤患者随机分为2组各30例，对照组接受常规护理，观察组接受早期护理干预，比较患者咳嗽症状、体温变化、痰液性状、痰液量、白细胞计数、X线检查等方面，观察2组患者肺部感染或感染加重的发生率。结果2组患者在肺部感染或原有感染加重方面的差异有统计学意义。结论采取早期护理干预可明显降低患者肺部感染发生率，对减少患者住院费用、缩短住院日及改善患者预后、提高患者后期生活质量有促进作用。