首页|综合性呼吸道护理在脑卒中气管切开患者中的应用效果

综合性呼吸道护理在脑卒中气管切开患者中的应用效果

扫码查看
目的:探讨综合性呼吸道护理在脑卒中气管切开患者中的应用效果。方法:选取 2022 年 1 月—2023 年 7 月韶关市第一人民医院收治的 80 例脑卒中气管切开患者。根据干预方法不同将其分为对照组和观察组,各 40 例。对照组给予常规气管切开护理,观察组在对照组基础上给予综合性呼吸道护理。比较两组相关指标,并发症及拔管成功率。结果:观察组痰痂形成率、吸痰次数均低于对照组,每日排痰量明显高于对照组,气管留置时间、住院时间均短于对照组,差异有统计学意义(P<0。05)。观察组气道黏膜出血、发热发生率均明显低于对照组,差异有统计学意义(P<0。05)。观察组拔管成功率明显高于对照组,差异有统计学意义(P<0。05)。结论:脑卒中气管切开患者实施综合性呼吸道护理,可降低痰痂形成发生率,减少吸痰次数,促进每日排痰,控制并发症的发生,促进患者早期康复。
Application Effect of Comprehensive Respiratory Nursing in Stroke Patients with Tracheotomy
Objective:To explore the application effect of comprehensive respiratory nursing in stroke patients with tracheotomy.Method:A total of 80 stroke patients with tracheostomy admitted to Shaoguan First People's Hospital from January 2022 to July 2023 were selected.According to different intervention methods,they were divided into control group and observation group,40 cases in each group.The control group was given routine tracheotomy nursing,and the observation group was given comprehensive respiratory nursing on the basis of the control group.The relevant indexes,complications and success rate of extubation were compared between the two groups.Result:The rate of phlegm scab formation and the number of sputum aspiration in the observation group were lower than those in the control group,the daily sputum output was significantly higher than that in the control group,and the endotracheal retention time and hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05).The incidence of airway mucosal bleeding and fever in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The success rate of extubation in observation group was significantly higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion:Comprehensive respiratory nursing for stroke patients with tracheotomy can reduce the incidence of phlegm scab formation,reduce the number of sputum aspiration,promote daily sputum discharge,control the occurrence of complications,and promote early recovery of patients.

Comprehensive respiratory nursingStrokeTracheotomyComplications

卢佳丽、刘阳优、叶丽萍、周凡新、何杰琼

展开 >

韶关市第一人民医院 广东 韶关 512000

综合性呼吸道护理 脑卒中 气管切开 并发症

韶关市卫生健康科研立项项目(2022)

Y22194

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(10)
  • 15