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目的研究神经外科意识障碍患者的个体化肺部护理措施的临床效果。方法对河北省医科大学第一医院神经外科收治的300例意识障碍患者,随机分为A组和B组,每组150例。A组进行个体化强化肺部护理措施,B组实施常规肺部护理,作为对照,比较2组对护理的满意度,动脉血气分析的改善程度以及患者肺部感染,误吸,低氧血症等不良反应发生率。结果 A组不仅在护理质量满意度优于B组(P<0.05),并且A组患者的护理前后的动脉血气分析结果改善情况优于B组(P<0.05),发生肺部不良反应发生率低于B组患者(P<0.05)。结论采用个体化肺部护理模式,对于意识障碍患者的肺部感染状况及预后有积极的改善作用。
Objective To study the clinical effects of individualized lung care in neurosurgical patients with unconsciousness. Methods 300 patients with impaired consciousness admitted to Department of Neurosurgery, the First Hospital of Hebei Medical University were randomly divided into A group and B group, with 150 cases in each group. A group of individualized intensive lung care measures, B group routine lung care, as a control, the two groups of care satisfaction, arterial blood gas analysis of the improvement and the patient’s lung infection, aspiration, hypoxemia Adverse reactions such as the incidence. Results In group A, the satisfaction of nursing quality was better than that of group B (P <0.05), and the improvement of arterial blood gas analysis before and after nursing in group A was better than that in group B (P <0.05). The incidence of adverse reactions in lung Lower than those in group B (P <0.05). Conclusion The individual lung care model has a positive effect on lung infection and prognosis in patients with impaired consciousness.