集束化管理策略对颅脑损伤气管切开患者气道管理质量的影响

Effect of Cluster Management Strategies on the Airway Management Quality of Patients with Craniocerebral Injury Tracheotomy

目的探讨集束化管理策略对颅脑损伤气管切开患者气道管理质量的影响。方法方便选取2013年1月—2016年12月该院120例颅脑损伤气管切开患者为研究对象,依据气道管理方法不同分为实验组(集束化管理,60例)和对照组(常规管理,60例)。对比观察两组气道湿化效果,统计感染等并发症发生率。结果实验组气道湿化满意度93.33%、肺部感染15.0%、痰痂1.67%、误吸1.67%,与对照组比较差异有统计学意义(P<0.05)。结论集束化管理可保证气管切气道湿化效果,减少肺部感染发生,提高气道管理质量,值得临床推广使用。

Objective To study the effect of cluster management strategies on the airway management quality of patients with craniocerebral injury tracheotomy.Methods 120 cases of patients with craniocerebral injury tracheotomy in our hospital from January 2013 to December 2016 were convenient selected as the research objects and divided into two groups with 60 cases in each according to different methods,the experimental group and the control group respectively used the cluster management and routine management,and the airway humidifying effect of the two groups was compared and observed and the incidence rate of complications was counted.Results The airway humidifying satisfactory degree and incidence rates of pulmonary infection,sputum and aspiration in the experimental group were respectively 93.33%,15.0%,1.67%and 1.67%,and the differences between groups were statistically significant(P<0.05).Conclusion The cluster management can ensure the airway humidifying effect,reduce the occurrence of pulmonary infection and improve the airway management quality,and it is worth clinical promotion and application.