【摘要】 目的探讨循证护理在高血压性脑出血颅内血肿微创清除术患者气管切开中的应用效果。方法选择某二级医院神经内科33例高血压性脑出血行颅内血肿微创清除术,且行气管切开的患者进行循证护理实践。首先确定循证护理问题,如肺部感染、气道内出血、气管套管脱出、皮下气肿等;然后查找文献收集证据,评价证据后结合临床实际制定护理措施,并观察效果。结果住院期间成功拔管21例,9例带管自动出院,3例死亡,无并发症发生。结论循证护理应用于高血压性脑出血颅内血肿微创清除术患者行气管切开的护理实践中,可促使护士寻求具有科学依据的护理措施来解决临床实际问题,能够为患者提供科学、有效的护理服务,提高护理质量。更多还原

【Abstract】 Objective To explore the application effect of evidence-based nursing in tracheotomy patients with minimal invasive therapy for hypertensive cerebral hemorrhage.Methods 33 tracheotomy patients with minimal invasive therapy for hypertensive cerebral hemorrhage were chosen in a neurology internal department of a second class hospital,and were implemented evidence-based nursing. First evidence-based nursing problems were determined,such as pulmonary infection,airway bleeding,tracheal tube coming off and subcutaneous emphysema etc,and evidences were looked up and were evaluated,then nursing measures were developed according to the evidences and the clinical situation. Results After evidence-based nursing,21 patients’ tracheal tube were successfully pulled out during the hospital,9 patients discharged from hospital with the tracheal tube,2 patients died,no nursing complications occured. Conclusion The evidence-based nursing is applied in tracheotomy patients with minimal invasive therapy for hypertensive cerebral hemorrhage,which can promote nurses to look for scientific evidence to solve the clinical problems,and can provide scientific and effective nursing service,and improve the nursing quality.更多还原