【摘要】 目的观察辨证施护对重型创伤性脑损伤气管切开后并发肺部感染患者的影响。方法将60例患者按照随机数字表随机分为实验组31例与对照组29例。两组患者均按护理常规进行护理。实验组在此基础上由责任护士配合主管医师对患者进行的辨证分型,然后根据患者不同的病因采取辨证施护。并比较两组不同时间点的临床肺部感染评分。结果两组治疗10 d及21 d后,CPIS均较治疗前降低,且组间差异有统计学意义(P<0.05)。结论辨证施护较常规护理方法更加有益于重型创伤性脑损伤气管切开后并发肺部感染患者。更多还原

【Abstract】 Objective: To investigate the effect of traditional Chinese medical dialectical nursing on postoperative pulmonary infections in severe traumatic brain injury patients undergoing tracheotomy. Methods: All patients were randomly divided into experimental group and control group. In control group,patients were managed with conventional treatment and nursing while patients in experimental group were managed with traditional Chinese medical dialectical nursing. All patients were evaluated by clinical pulmonary infection score(CPIS). Results:There were no significant differences in CPIS between two groups before treatment. After 10 days of treatment,CPIS of two groups decreased,and the differences were significant(P < 0.05). 21 days after treatment,CPIS improving rate had statistically significant differences between both groups. Conclusion: Compared with conventional nursing,traditional Chinese medical dialectical nursing is better for sTBI patients undergoing tracheotomy with postoperative pulmonary infections.更多还原