Application of respiratory rehabilitation nursing in the prevention of lung infection in patients with severe head injury tracheostomy
重度颅脑损伤气管切开患者肺部感染预防中呼吸康复护理的应用

摘要

目的 探讨呼吸康复护理在预防重度颅脑损伤气管切开患者肺部感染中的临床应用效果。方法：本研究纳入我院接受治疗的88重度颅脑损伤气管切开患者作为研究对象。采用随机数字表法进行分组，将研究对象均衡分配至对照组与研究组，每组各44例。其中，对照组实施常规护理；研究组则采用呼吸康复护理。对两组患者护理干预后的临床效果展开对比分析。结果：与对照组相比，研究组患者的肺部感染发生率显著降低。研究组患者的呼吸频率、动脉血二氧化碳分压等指标明显低于对照组，而血氧饱和度、动脉血氧分压等指标则显著高于对照组。差异有统计学意义（P＜0.05）。结论：在重度颅脑损伤且行气管切开术的患者中实施呼吸康复护理措施，能够有效降低肺部感染的发生概率，并对患者的血气分析相关指标起到积极的改善作用。

Abstract

Objective To investigate the clinical application effect of respiratory rehabilitation nursing in the prevention of lung infection in patients with severe head injury and tracheostomy.
Methods In this study, 88 patients with severe head injury and tracheostomy who were treated in our hospital were included as study subjects. The study subjects were divided into control group and study group, with 44 cases in each group. Among them, the control group was given routine nursing; The study group used respiratory rehabilitation care. The clinical effects of nursing intervention between the two groups were compared.
Results The incidence of lung infections was significantly reduced in patients in the study group compared to the control group. The respiratory rate and arterial carbon dioxide partial pressure in the study group were significantly lower than those in the control group, while the oxygen saturation and arterial oxygen partial pressure were significantly higher than those in the control group. The difference was statistically significant (P<0.05).
Conclusion   The implementation of respiratory rehabilitation nursing measures in patients with severe head injury and tracheostomy can effectively reduce the probability of pulmonary infection and play a positive role in improving the relevant indicators of blood gas analysis.