目的探讨重症颅脑外伤患者气管切开的护理措施。方法选取2014年3—12月朝阳市中心医院收治的重症颅脑外伤行气管切开的患者54例为研究对象,按随机数字表法分为对照组与观察组,每组27例。对照组患者给予常规护理,观察组患者在常规护理的基础上配合综合气道护理和心理护理。比较两组患者肺部感染发生率、控制感染时间及护理满意度。结果观察组患者肺部感染发生率明显低于对照组,差异有统计学意义(P<0.05);观察组患者控制感染时间明显短于对照组,差异有统计学意义(P<0.05);观察组患者的护理满意度显著高于对照组,差异有统计学意义(P<0.05)。结论常规护理配合科学的综合气道护理和心理护理有助于重症颅脑外伤患者的恢复,能够有效降低肺部感染发生率,最大程度地控制感染时间,提高了护理满意度,优化了护患关系。 Objective To investigate the nursing measures of tracheotomy in patients with severe craniocerebral trauma. Methods Fifty-four patients with traumatic traumatic brain injury admitted in Chaoyang Central Hospital from March to December 2014 were selected as study subjects and divided into control group and observation group according to random number table method, with 27 cases in each group. Patients in the control group were given routine nursing care. The patients in the observation group were given comprehensive airway nursing and psychological care on the basis of routine nursing care. The incidence of pulmonary infection in both groups was compared, and the infection time and nursing satisfaction were controlled. Results The incidence of pulmonary infection in the observation group was significantly lower than that in the control group (P <0.05). The control infection time in the observation group was significantly shorter than that in the control group (P <0.05) The nursing satisfaction of patients in the group was significantly higher than that in the control group, the difference was statistically significant (P <0.05). Conclusion Conventional nursing combined with scientific comprehensive airway nursing and psychological nursing can help the recovery of patients with severe craniocerebral trauma. It can effectively reduce the incidence of pulmonary infection, control infection time to the greatest extent, improve nursing satisfaction and optimize nurse relationship.