早期护理干预改善颅脑疾病患者气管切开后感染

Early Nursingintervention Improve the Infection Status of Patients with Brain Disease after Tracheotomy

目的探讨早期护理干预对改善颅脑疾病患者气管切开(cerebral diseases with tracheotomy,CDT)术后感染状况的有效性。方法选择2012年9月至2014年8月在我院接受气管切开治疗的CDT病患者50例作为观察组,并对其进行早期护理干预;另外选取此前一年半内在我院接受气管切开治疗的CDT病患者50例作为对照组,该患者只接受常规的护理措施。比较术后72h体温、白细胞总数、中性粒细胞比例、PCT值以及术后1个月的感染发生情况。结果观察组术后的体温,中性粒细胞比例,白细胞总数以及PCT值明显低于对照组,差异有统计学意义(P<0.05);观察组和对照组患者术后的总感染率分别为32%(16/50)和58%(29/50),差异有统计学意义(P<0.05)。结论早期护理干预能有效改善CDT患者的术后感染情况。

Objective To research the effect of the early nursing intervention to improve the infectious status of patients with brain disease after tracheotomy（ CDT）. Methods 50 patients with CDT in our hospital from September 2012 to August 2014 were selected as the observation group,early comprehensive nursing intervention was implemented during this period. In addition,another 50 cases with CDT in our hospital within a year and a half before were selected as the control group,who only received conventional nursing during the period of treatment. The temperature of 72 h,the total number of white blood cells,the proportion of neutrophils,PCT values,and the incidence of infection after 1 month of operation were compared. Results The body temperature,the percentage of neutrophils,the total number of white blood cells and the PCT values were significantly lower in the observation group than in the control group（ P 〈0. 05）; the total rate of infectious status in the observation group and control group were respectively 32%（ 16 /50） and 58%（ 29 /50）,the difference was statistically significant（ P 〈0. 05）. Conclusion Early nursing intervention could promote patients＇ postoperative recovery and improve the postoperative infectious status.