目的探讨在重度颅脑损伤患者转出重症监护室(ICU)的常规护理基础上进行肺部延续护理干预,对降低非计划72 h ICU重返率的效果。方法选取2018年8月至2019年7月于该院ICU治疗并转出的符合条件的50例重度颅脑损伤患者作为观察组,回顾2017年...目的探讨在重度颅脑损伤患者转出重症监护室(ICU)的常规护理基础上进行肺部延续护理干预,对降低非计划72 h ICU重返率的效果。方法选取2018年8月至2019年7月于该院ICU治疗并转出的符合条件的50例重度颅脑损伤患者作为观察组,回顾2017年8月至2018年7月于该院ICU治疗并转出的符合纳入标准的42例重度颅脑损伤患者,作为对照组。对照组给予常规护理,观察组在常规护理的基础上进行肺部延续性护理。结果观察组的72 h重返ICU率为4.76%,对照组72 h重返率为30.95%,研究组明显低于对照组,差异有统计学意义(P<0.05)。结论对转出ICU的重度颅脑损伤患者进行肺部延续护理干预,可以明显降低患者的ICU重返率。展开更多
Objective: To explore the risk factors of nosocomial infection in severe craniocerebral trauma and the way of prevention.Methods: The clinical data of 387 patients with severe craniocerebral trauma were reviewed.Resul...Objective: To explore the risk factors of nosocomial infection in severe craniocerebral trauma and the way of prevention.Methods: The clinical data of 387 patients with severe craniocerebral trauma were reviewed.Results: The total nosocomial infection rate of this study was 22.99 %. Pulmonary nosocomial infection presented most frequently. The G bacilli were the most common infectious bacteria. The mortality rate of the infection group was 38.20 %.Conclusions: Complications of nosocomial infection affect the prognosis of craniocerebral trauma patients. Nosocomial infection is related to the age of the patients, craniocerebral trauma severity, unreasonable utilization of antibiotics and invasive operations, such as tracheal cannula, mechanical ventilation, urethral catheterization and deep venous catheterization. Patients with severe craniocerebral trauma should be carefully treated and nursed to avoid nosocomial infection. In order to reduce the rate of nosocomial infection, intensive measurement should be adopted.展开更多
文摘目的探讨在重度颅脑损伤患者转出重症监护室(ICU)的常规护理基础上进行肺部延续护理干预,对降低非计划72 h ICU重返率的效果。方法选取2018年8月至2019年7月于该院ICU治疗并转出的符合条件的50例重度颅脑损伤患者作为观察组,回顾2017年8月至2018年7月于该院ICU治疗并转出的符合纳入标准的42例重度颅脑损伤患者,作为对照组。对照组给予常规护理,观察组在常规护理的基础上进行肺部延续性护理。结果观察组的72 h重返ICU率为4.76%,对照组72 h重返率为30.95%,研究组明显低于对照组,差异有统计学意义(P<0.05)。结论对转出ICU的重度颅脑损伤患者进行肺部延续护理干预,可以明显降低患者的ICU重返率。
文摘Objective: To explore the risk factors of nosocomial infection in severe craniocerebral trauma and the way of prevention.Methods: The clinical data of 387 patients with severe craniocerebral trauma were reviewed.Results: The total nosocomial infection rate of this study was 22.99 %. Pulmonary nosocomial infection presented most frequently. The G bacilli were the most common infectious bacteria. The mortality rate of the infection group was 38.20 %.Conclusions: Complications of nosocomial infection affect the prognosis of craniocerebral trauma patients. Nosocomial infection is related to the age of the patients, craniocerebral trauma severity, unreasonable utilization of antibiotics and invasive operations, such as tracheal cannula, mechanical ventilation, urethral catheterization and deep venous catheterization. Patients with severe craniocerebral trauma should be carefully treated and nursed to avoid nosocomial infection. In order to reduce the rate of nosocomial infection, intensive measurement should be adopted.
