高位颈椎骨折伴颈髓损伤患者早期预见性护理对肺部感染的影响

Effect of early predictable nursing on pulmonary infection of patients with high cervical spine fracture with spinal cord injury

目的：探讨预见性护理对高位颈椎骨折伴颈髓损伤患者肺部感染的影响。方法对15例高位颈椎骨折脱位伴颈髓损伤患者采用预见性护理,及时清除口腔分泌物、湿化气道、早期气管插管或气管切开、人工辅助咳嗽等护理措施,与同期常规护理组17例患者比较肺部感染发生率。结果通过各项预见性护理,15例高位颈椎骨折伴颈髓损伤患者中,有3例发生肺部感染（20%）,17例常规护理组中,有8例发生肺部感染（47%）,两组比较差异有统计学意义（P〈0.05）。结论与常规护理相比,预见性护理可有效预防高位颈椎骨折伴颈髓损伤患者肺部感染发生率,促进患者康复。

Objective To explore the effect of early predictable nursing measurements on the pneumonia of patients with high cervical spine fracture with spinal cord injury. Methods 32 patients with cervical spinal cord injury after high level cervical spine fracture were divided into predictable nursing group （n=15） and conventional nursing group （n=17） . The incidence of pulmonary infection of two groups were compared. Results Pulmonary infection were found in 3 and 8 patients in predictable nursing group and conventional nursing group, respectively. Conclusions Compared with conventional nursing measures, predictable nursing measures could reduce the incidence of pulmonary infection in patients with cervical spinal cord injury after high level cervical spine fracture.