目标性监测对控制神经外科手术后医院获得性肺炎的效果分析

Effect of targeted monitoring on control of hospital-acquired pneumonia after neurosurgical operation

目的研究目标性监测对预防控制神经外科手术后患者医院获得性肺炎的意义。方法开展神经外科手术后医院获得性肺炎的目标性监测,通过教育培训、严格呼吸机管道的消毒、减少外源性污染、患者床头抬高30～45度、氯己定口腔护理、严格的手卫生及每天评估是否可以撤机等综合措施,监测神经外科手术后医院获得性肺炎发病率。结果开展目标性监测后,神经外科手术后医院获得性肺炎发病率由监测前24.57%下降至监测后的8.24%,差异有统计学意义(P<0.05)。结论开展目标性监测对控制神经外科手术后医院获得性肺炎发病率具有显著效果,对预防控制医院外科手术后肺炎具有积极意义。

OBJECTIVE To explore the significance of targeted monitoring on the prevention and control hospital acquired pneumonia after neurosurgical operation.METHODS The method of targeted monitoring was applied to the hospital acquired pneumonia after neurosurgical operation.By taking such comprehensive measures as education training,strictly disinfecting the respirator duct,reducing exogenous contamination,raising the patients′ bedside 35-40°up,conducting oral cavity nursing with chlorhexidine,strict hand hygiene,and making assessment everyday to determine the withdrawal of the respirator,morbidity rates of hospital acquired pneumonia after neurosurgical operation were monitored.RESULTS By using targeted monitoring,the morbidity rates of hospital acquired pneumonia after neurosurgical operation decreased from 24.57% to 8.24%,and there were significant differences（P0.05）.CONCLUSION Targeted monitoring can effectively control the morbidity rates of hospital acquired pneumonia after neurosurgical operation,and it is of positive significance for the prevention and control of the hospital acquired pneumonia after surgical operation.