International Journal of Clinical Research
International Journal of Clinical Research. 2026; 10: (9) ; 10.12208/j.ijcr.20260466 .
总浏览量: 29
咸阳市中心医院 陕西咸阳
*通讯作者： 吕鲜妮,单位：咸阳市中心医院 陕西咸阳; ；
目的 探析集束化气道护理策略降低神经重症相关性肺炎发生率的临床实践。方法 2024年4月-2025年4月，取我院神经重症患者86例，以数表法随机分组，各组均43例，对照组+常规护理，观察组+集束化气道护理，组间价值分析。结果 干预后，观察组观察指标、痰液黏稠度、呼吸机相关性肺炎（VAP）发生率、炎性水平、满意度数值均较对照组更优（P<0.05）。结论 神经重症患者接受集束化气道护理取得了确切效用，借鉴度较高。
Objective To explore the clinical practice of the clusterized airway care strategy in reducing the incidence of neurocritical care-related pneumonia. Methods From April 2024 to April 2025, 86 patients with neurocritical care in our hospital were selected and randomly grouped using the table method, with 43 cases in each group. The control group received routine care, while the observation group received clusterized airway care. Value analysis was conducted between the two groups. Results After intervention, the observation indicators, sputum viscosity, incidence of ventilator-associated pneumonia (VAP), inflammatory levels, and satisfaction values of the observation group were all better than those of the control group (P<0.05). Conclusion The clusterized airway care for neurocritical care patients achieved definite efficacy and had a high degree of replicability.
[1] 李英豪,栗金涛,张博越. 心理护理联合呼吸训练在重症肺炎伴呼吸衰竭患者中的效果及对患者负性情绪，血气指标的影响[J].航空航天医学杂志,2026,37(04):487-490.
[2] 赵路路,郑炳秀,周冰倩. 基于吉布斯反思循环的全方位护理干预对重症肺炎患者遵医行为及自我感受负担的影响[J].慢性病学杂志,2026,27(03):432-434+438.
[3] 孔倩倩,郑迎春,张振恩,等. 重症肺炎病人呼吸机相关性肺炎预防护理质量评价指标体系的构建[J].循证护理, 2026,12(04):723-728.
[4] 陈丽萍,陈霞. JBI模式引导的责任制护理在ICU重症肺炎无创机械通气患者中的应用效果[J].医药前沿,2026, 16(04):121-124.
[5] 赵欢,刘影. 全面护理对重症监护室重症肺炎患者呼吸机撤机成功率及呼吸功能的影响[J/OL].中国典型病例大全,1-6[2026-04-13].
https://doi.org/10.20256/j.cnki.zgdxbl.20260204.003.
[6] 范超林,朱姝璟,杨敏,等. 基于护理团队协作的神经重症患者呼吸机相关肺炎预防方案的制定与实施效果[J].中华医院感染学杂志,2025,35(02):297-301.
[7] 陈德勋,郝乔,揣春阳. 神经重症监护室患者医院获得性肺炎病原菌耐药性特点及护理干预效果[J].中国病原生物学杂志,2024,19(12):1496-1500.
[8] 杨晓文,许彬.基于随机森林算法的神经外科ICU有创机械通气患者多重耐药菌感染呼吸机相关性肺炎预测模型的建立及针对性护理对策研究[C]//中国医师协会,中国医师协会神经外科医师分会.第十八届中国医师协会神经外科医师年会摘要集-神经外科护理.江苏省人民医院;,2024:163.