脑外伤气管切开患者控制痰液粘稠度的护理观察

The observation of nursing intervention of controlling sputum viscosity in brain-injured patients with tracheotomy

目的观察控制痰液粘稠度对脑外伤气管切开患者的影响。方法将126例脑外伤气管切开患者随机分为观察组和对照组各63例。对照组行神经外科常规治疗及护理,观察组给予控制痰液粘稠度的护理干预措施。护理2周后观察对比吸痰时间、吸痰负压、氧合指数、颅内压、肺部感染率、格拉斯哥(GCS)评分等指标。结果两组吸痰时间、吸痰负压、氧合指数、颅内压、肺部感染率和格拉斯哥(GCS)评分比较观察组优于对照组,差异均有统计学意义,P<0.05。结论控制痰液粘稠度的护理干预措施可有效降低颅内压及肺部感染发生率,有利脑外伤患者康复。

Objective To explore the effect of controlling sputum viscosity in brain-injured patients with tracheotomy.Methods 126 cases tracheotomy patients with brain-injured were randomly divided into observation group and control group,each of 63 cases.Control group underwent conventional neurosurgical treatment and observation group was given care interventions to controlling sputum viscosity.2 weeks after nursing care,the suctioning time,negative pressure,Oxygenation index,intracranial pressure,lung infection and GCS scores changes before and after care were observed.Results There were significant differences of the suctioning time,negative pressure,Oxygenation index,intracranial pressure,lung infection and GCS scores between the two groups（P0.05）.and observation group was Better than those in control group.Conclusion Nursing intervention of controlling sputum viscosity can be effective in reducing intracranial pressure and the incidence of pulmonary infection,and promote the rehabilitation of brain-injured patients.