Improved analysis of tracheostomy wound care in patients with severe intracranial injury
重型颅脑损伤患者气管切开创面护理的改进分析

摘要

目的 分析针对重型颅脑损伤（sTBI）患者气管切开创面的系统性改进护理方案的应用效果。方法 选取我院2023年6月至2025年6月期间的sTBI并行气管切开患者88例，依据入院时间先后分为改进组与常规组。常规组采用传统创面护理流程，改进组在此基础上，实施精细化护理方案。结果 改进组的创面平均愈合时间明显短于常规组，切口感染率及刺激性咳嗽发生率更低，单次护理用时更长，总换药次数更少（P＜0.05）。结论 针对sTBI患者特点的精细化气管切开创面护理改进方案，能有效促进创面愈合，降低相关并发症风险，提升护理质量。

Abstract

Objective To analyze the application effect of a systematic improvement in tracheostomy wound care for patients with severe traumatic brain injury (sTBI).
Methods A total of 88 sTBI patients requiring tracheostomy from June 2023 to June 2025 in our hospital were selected and divided into an improved group and a conventional group based on admission time. The conventional group followed traditional wound care procedures, while the improved group implemented a refined nursing protocol on this basis.
Results The improved group exhibited significantly shorter average wound healing time, lower rates of incision infection and irritative cough, longer single nursing time, and fewer total dressing changes compared to the conventional group (P < 0.05).
Conclusion   The refined tracheostomy wound care improvement protocol tailored to the characteristics of sTBI patients effectively promotes wound healing, reduces the risk of related complications, and enhances nursing quality.