The application of intensive respiratory care in patients with cerebral infarction and pulmonary infection
强化呼吸道护理联合综合护理在脑梗死并发肺部感染患者中的应用

摘要

目的 研究强化呼吸道护理联合综合护理在脑梗死并发肺部感染患者中的应用价值。方法 选择2024年1月-2025年1月我院80例脑梗死患者作为研究对象，通过计算机随机数字软件生成 1-80，双数者为对照组（n=40），行常规护理；单数者为观察组（n=40），行强化呼吸道护理联合综合护理。观察和对比两组肺部感染发生率、并发症发生率、治疗情况（ICU停留时间、机械通气时间、总住院时间）。结果 观察组肺部感染发生率为0.00%，低于对照组的12.00%，差异有统计学意义（χ²=5.143，P=0.023）。观察组并发症发生率为2.50%，低于对照组的17.50%，差异有统计学意义（χ²=5.000，P=0.025）。观察组ICU停留时间、机械通气时间、总住院时间同对照组比更短，差异有统计学意义（P＜0.05）。结论 强化呼吸道护理联合综合护理可进一步降低重症监护室脑梗死患者肺部感染及并发症发生率，可缩短ICU停留时间、机械通气时间、总住院时间。

Abstract

Objective To study the application value of intensive respiratory care in patients with cerebral infarction and pulmonary infection.
Methods 80 patients with cerebral infarction from January 2024 to January 2025 were selected as the research subjects, and 1-80 were generated by computer random number software, including the control group (n=40), the control group, the observation group (n=40), and the combined intensive respiratory nursing. Observe and compare the incidence of pulmonary infection, complications, and treatment (ICU stay time, mechanical ventilation time, total hospital stay) between the two groups.
Results The incidence of pulmonary infection in the observation group was 0.00%, lower than 12.00% in the control group, and the difference was statistically significant (χ²=5.143, P=0.023). The complication rate in the observation group was 2.50%, which was lower than the 17.50% in the control group, and the difference was statistically significant (χ²=5.000, P=0.025). In the control group, ICU stay time, mechanical ventilation time and total hospital stay in the observation group were shorter than the control group, statistically significant (P <0.05).
Conclusion   Intensive respiratory care combined with comprehensive care can further reduce the incidence of pulmonary infection and complications in patients with cerebral infarction in ICU, and shorten the ICU stay time, mechanical ventilation time and total hospital stay.