集束化气道护理在高血压性脑出血术后机械通气中的应用

Application of cluster airway nursing in patients with mechanical ventilation after hypertensive cerebral ;hemorrhage surgery

目的：探讨集束化气道护理管理在高血压性脑出血术后机械通气中的应用及对相关不良事件的影响。方法将高血压性脑出血术后机械通气患者分为观察组和对照组，对照组采用常规气道护理，观察组采取集束化气道护理，观察并记录两组患者机械通气时间、ICU停留时间、护理相关不良事件及气道相关并发症发生情况，同时对患者机械通气舒适程度及对护理工作满意度进行评价。结果观察组患者术后机械通气平均时间及ICU停留时间均明显短于对照组，差异均有统计学意义（P〈0．05）。结论对脑出血术后机械通气患者采取集束化气道护理管理，有利于降低护理相关不良事件、气道相关并发症发生率，促进患者尽早康复。

Objective To investigate the application value and the impact on the related adverse events of cluster airway management in patients with mechanical ventilation after hypertensive cerebral hemorrhage surgery.Methods Patients with mechanical ventilation after hypertensive cerebral hemorrhage surgery were divided into observation group and control group .Patients in the control group were given normal airway nursing , while patients in the observation group were implemented cluster airway nursing .Mechanical ventilation time , ICU stay time, nursing related adverse events and airway related complications of two groups were observed and compared. Patients′comfort to mechanical ventilation and satisfaction to nursing were evaluated . Results Mechanical ventilation average time and ICU stay time of the observation group were shorter than those in the control group（P〈0.05）.Conclusions Application of cluster airway nursing in patients with mechanical ventilation after hypertensive cerebral hemorrhage surgery could reduce the incidence of nursing related adverse events, airway complications , which would promote patients early recovery .