中西医综合护理干预对气管切开术后患者肺部感染影响研究

TCM Comprehensive Nursing Intervention on Patients with Pulmonary Infection after Tracheotomy

目的 :研究中西医综合护理干预对气管切开术后患者肺部感染的影响。方法 :选择在我院就诊并行气管切开、呼吸机辅助呼吸的患者作为本次前瞻性研究的对象,随机分为给予中西医综合护理干预的观察组和常规护理干预的对照组,观察肺部感染情况和呼吸功能恢复情况。结果 :观察组发生肺部感染例数、呼吸恢复平稳的时间、X线征象消失的时间、肺部罗音消失时间以及肺部感染后第1、3、5天时CPIS评分均低于对照组;血氧饱和度、动脉血氧分压明显高于对照组。结论 :中西医综合护理干预能够有效的预防气管切开术后发生肺部感染、促进呼吸功能恢复。

Obejective ： To study the influence of traditional Chinese medicine comprehensive nursing intervention on patients with pulmonary infection after tracheotomy. Methods ： In our hospital, patients with parallel tracheotomy and ventilator-assisted breathing as the object of study and were randomized into TCM and Western medicine nursing intervention and usual care groups. Lung infection and respiratory function recovery were observed. Results ： The patients＇ pulmonary infection, respiratory smooth recovery time, X-ray signs of disappearing time, pulmonary rale disappearing time, and pulmonary infection CPIS on 1 d, 3 d, 5 d were lower than those of the control group ; oxygen saturation as well as arterial oxygen tension was significantly higher. Conclusion ： TCM comprehensive nursing intervention can effectively prevent pulmonary infection after tracheotomy, and promote respiratory function recovery.