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目的:为了进一步研究和探讨我院针对颅脑损伤实施气管切开术患者所提出的优质护理措施在预防医院感染过程中的临床实践效果,从而为临床的护理工作实践提供借鉴和参考.方法:本文以我院2010年8月到2012年10月期间入院治疗的58例颅脑损伤并实施气管切开术的患者为研究对象,对患者的临床资料进行了回顾性分析.结果:两组患者随着时间的推移,痰液细菌培养阳性比例逐渐升高,但是优质护理组患者各时间点的痰液细菌培养阳性比例均显著地低于常规护理组患者的水平,且组间比较,P 均<0.05,差异具有统计学意义.结论:在临床护理实践过程中,我院针对颅脑损伤并实施气管切开术的患者所提出的优质护理措施和手段可以有效的预防患者医院感染的发生,临床实践效果显著.“,”Objective: In order to further research and explore the effect of quality care measures proposed tracheotomy patients in our hospital for head injury in clinical practice in the prevention of nosocomial infection process, which provide reference for clinical care practice. Methods: 58 patients with traumatic brain injury and implemented tracheotomy hospitalized in our hospital from August 2010 to October 2012 in this article were chosen as the research object. The clinical data of the patient was taken for retrospective analysis. Results: Over time, the sputum bacterial culture positive proportion was gradualy increased in the two groups, sputum positive bacterial culture proportion of patients with quality care group at each time point were significantly lower than the level of the routine care patients, and compared between the two groups, P <0.05, the difference was statisticaly significant. Conclusion: In the process of clinical nursing practice, quality of care measures and means in our hospital for traumatic brain injury patients with tracheotomy can be effective in preventing the occurrence of nosocomial infection, and the clinical practice is significant.