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目的:分析重症颅脑损伤患者并发肺部感染的原因,以及探索其护理防治对策。方法:选取2014年10月—2016年10月间收治的重症颅脑损伤患者86例,采用随机分组法将其分为对照组和观察组,每组43例;对照组患者在抗菌药物治疗的基础上给予常规护理模式护理治疗;观察组患者在抗菌药物治疗的基础上采用针对性护理模式护理治疗;比较两组患者在抗菌药物治疗的基础上在颅脑损伤治疗期间并发肺部感染的发生率、住院治疗总时间和治疗期间患者对护理服务的满意度。结果:观察组患者给予抗菌药物治疗基础上采用针对性护理模式护理治疗后,并发肺部感染的发生率低于对照组(P<0.05);住院治疗总时间短于对照组(P<0.05);治疗期间患者对治疗和护理服务的满意度为95.30%高于对照组为79.10%(P<0.05)。结论:重症颅脑损伤患者在抗菌药物治疗基础上采用针对性护理干预治疗,可有效预防肺部感染的发生,缩短了住院治疗时间。
Objective: To analyze the causes of pulmonary infection in patients with severe craniocerebral injury, and to explore the nursing countermeasures. Methods: Totally 86 patients with severe craniocerebral injury who were admitted from October 2014 to October 2016 were selected and randomly divided into control group and observation group, with 43 cases in each group. Patients in the control group were treated with antibiotics Based nursing routine nursing model; observation group patients on the basis of antimicrobial drug treatment using targeted care model; compared two groups of patients on the basis of antimicrobial therapy in the treatment of craniocerebral injury complicated by the occurrence of pulmonary infection Rate, total duration of hospitalization and patient satisfaction with nursing services during treatment. Results: The incidence of complicated pulmonary infection in the observation group was lower than that in the control group (P <0.05). The total duration of hospitalization was shorter than that in the control group (P <0.05) The patients’ satisfaction with treatment and nursing services during the treatment period was 95.30% higher than that of the control group (79.10%, P <0.05). Conclusion: Patients with severe craniocerebral injury are treated with targeted nursing intervention on the basis of antibacterial therapy, which can effectively prevent the occurrence of pulmonary infection and shorten the duration of hospitalization.