信息监护系统在重症颅脑损伤气管切开患者中的应用

Application of information monitoring system in patients with severe head injury tracheotomy

目的:探讨基于信息监护系统的优质护理在重症颅脑损伤气管切开患者中的实践研究。方法:选取2019年6月~2020年8月在本院行气管切开术的重症颅脑损伤患者114例,采用随机数字表法随机分为研究组和对照组,各57人。对照组为常规护理,研究组为常规护理+基于信息监护系统的优质护理。对比2组患者护理前、护理后24h及护理后48h格拉斯哥昏迷评分(GCS);对比2组患者气管插管时间、每日吸痰次数及吸痰间隔时间;对比2组患者并发症发生率。结果:2组患者护理后24h及护理后48h的GCS评分均明显高于护理前(P<0.05);2组患者护理后48h的GCS评分均均明显高于护理后24h(P<0.05);2组间比较,研究组护理后24h及护理后48h的GCS评分均明显高于对照组(P<0.05);2组患者气管插管时间无明显差异(P>0.05),研究组每日吸痰次数多于对照组(P<0.05),研究组吸痰间隔时间则明显短于对照组(P<0.05);研究组并发症发生率明显低于对照组(P<0.05)。结论:基于信息监护系统下的优质护理能够提高重症颅脑损伤气管切开患者意识,增加每日吸痰次数,缩短吸痰间隔时间,降低并发症的发生率。

Objective:To explore the application of high quality nursing based on information monitoring system in tracheotomy patients with severe craniocerebral injury.Methods:114 patients with severe craniocerebral injury who underwent tracheotomy in our hospital from June 2019 to August 2020 were randomly divided into study group and control group with 57 cases in each group.The control group was routine nursing,the study group was routine nursing+high quality nursing based on information monitoring system.Glasgow Coma Score(GCS)before,24hours after and 48hours after nursing were compared between the two groups.The time of tracheal intubation,the times of daily sputum aspiration and the interval of sputum aspiration were compared between the two groups.The incidence of complications was compared between the two groups.Results:The GCS scores of 24 hours and 48 hours after nursing in the two groups were significantly higher than those before nursing(P<0.05).The GCS scores of the two groups at 48 hours after nursing were significantly higher than those at 24 hours after nursing(P<0.05).The GCS scores of 24 hours and 48 hours after nursing in the two groups were significantly higher than those before nursing(P<0.05).Compared with the control group,the GCS of the study group was significantly higher 24 hours after nursing and 48 hours after nursing(P<0.05).There was no significant difference in intubation time between the two groups(P>0.05).The number of sputum aspiration per day in the study group was more than that in the control group(P<0.05).The time between sputum aspiration in the study group was significantly shorter than that in the control group(P<0.05).The incidence of complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion:High quality nursing based on information monitoring system can improve consciousness of patients with severe craniocerebral injury,increase the number of daily sputum suction,shorten the time between sputum suction,and reduce the incidence of complications.