【摘要】 目的探讨护理干预对重型颅脑损伤行气管切开患者鼻饲过程误吸的影响。方法选择2008年1月-2011年2月本科室重型颅脑损伤行气管切开鼻饲患者70例,随机分为干预组和对照组,每组各35例。对照组采用鼻饲常规护理,干预组在此基础上进行护理干预,包括增加胃管插入长度,鼻饲时抬高床头,改进鼻饲液的量、速度和温度等,比较两组患者鼻饲过程返流、误吸、窒息以及吸入性肺炎的发生率。结果干预组患者返流、误吸、窒息以及吸入性肺炎的发生率低于对照组(均P<0.05)。结论对重型颅脑损伤行气管切开患者鼻饲过程实施有效的护理干预措施,能降低患者鼻饲过程返流、误吸及窒息的发生率,预防肺部并发症,提高患者的护理质量。更多还原

【Abstract】 Objective To explore the effect of nursing intervention on aspiration at nasogastric feeding in severe head injury patients undergoing tracheotomy.Methods 70 severe head injury patients undergoing nasogastric feeding after tracheotomy from January 2008 to February 2011 were equally divided into two groups randomly:the intervention group and the control group.Patients in the control group received routine care to nasal feeding.Besides the routine care,the patients in the intervention group received interventions like inserting the stomach cannula further and raising the bedside at nasogatric feeding to improve nasal fluid volume,speed and temperature.The two groups were compared in terms of the incidences for reflux,aspiration,suffocation and aspiration pneumonia.Result The incidences of reflux,aspiration,suffocation and aspiration pneumonia in the intervention group were smaller than those in the control group(all P < 0.05).Conclusion The implementation of effective nursing interventions on the severe head injury patients undergoing nasogastric feeding after tracheotomy tube can lower the incidences of reflux and aspiration during nasogastric feeding,prevent pulmonary complications and thus improve patients’ quality of life.更多还原