综合性护理与创伤性脑损伤后行气管切开术患者呼吸结局的相关性
Association of Comprehensive Nursing with Respiratory Outcomes in Patients Undergoing Tracheostomy After Traumatic Brain Injury.
作者信息
Gu Xi-Juan, Le Yan, Hu Xiao-Mei, Lu Zhi-Hui
机构信息
Department of Neurosurgery, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi Province, People's Republic of China.
Department of Oncology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi Province, People's Republic of China.
出版信息
Risk Manag Healthc Policy. 2025 Jul 5;18:2287-2296. doi: 10.2147/RMHP.S516115. eCollection 2025.
OBJECTIVE
To analyze the application of comprehensive nursing in patients undergoing tracheostomy after traumatic brain injury.
METHODS
A retrospective analysis was conducted on 87 patients with traumatic brain injury who underwent tracheostomy in our hospital, divided into a control group (n=43), which received standard nursing care, and an intervention group (n=44), which received comprehensive nursing care. The intervention effects of the two groups were compared.
RESULTS
The perioperative indicators in the intervention group were lower than those in the control group. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels in the intervention group decreased 2 weeks after surgery, while peripheral capillary oxygen saturation (SpO) levels in the control group increased 2 weeks after surgery; the daily sputum volume in the intervention group was higher than that in the control group, and the suction frequency and duration were lower in the intervention group than in the control group; Glasgow Outcome Scale (GOS) score was higher and Neurological Deficit Scale (CSS) score, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, and Visual Analog Scale (VAS) score were lower in the intervention group than in the control group after intervention; the incidence of complications in the intervention group was lower than that in the control group (P<0.05).
CONCLUSION
Comprehensive nursing for patients undergoing tracheostomy after traumatic brain injury can promote patient recovery.
目的
分析综合护理在创伤性脑损伤气管切开患者中的应用效果。
方法
回顾性分析我院87例行气管切开术的创伤性脑损伤患者，分为对照组（n = 43），接受标准护理；干预组（n = 44），接受综合护理。比较两组的干预效果。
结果
干预组围手术期指标低于对照组。干预组术后2周收缩压（SBP）和舒张压（DBP）水平下降，而对照组术后2周外周毛细血管血氧饱和度（SpO）水平升高；干预组每日痰量高于对照组，且干预组吸痰频率和持续时间低于对照组；干预后干预组格拉斯哥预后量表（GOS）评分较高，神经功能缺损量表（CSS）评分、急性生理与慢性健康状况评分系统II（APACHE II）评分及视觉模拟评分法（VAS）评分低于对照组；干预组并发症发生率低于对照组（P<0.05）。
结论
对创伤性脑损伤气管切开患者实施综合护理可促进患者康复。
Zotero 插件