系统护理干预对颈椎骨折伴高位截瘫患者误吸和反流的作用

Effect of systematic nursing interventions on the mistake aspiration and reflux in patients with cervical vertebral fracture combined with high amputation

  • 摘要: 目的:探讨系统护理干预对颈椎骨折伴高危截瘫患者误吸、食物反流的影响。方法选取颈椎骨折伴高位截瘫患者58例,随机分为观察组和对照组,每组29例。对照组给予常规护理,观察组在此基础上给予系统化护理。观察2组患者反流、误吸和吸入性肺炎的发生率差异。结果观察组误吸、反流和吸入性肺炎发生率显著低于对照组(P <0.05);观察组行鼻饲患者15例,对照组17例。鼻饲中,观察组呼吸频率显著低于对照组(P <0.01),血氧饱和度显著高于对照组(P <0.01)。结论系统护理干预可有效降低颈椎骨折伴高位截瘫患者误吸、食物反流发生的风险,值得借鉴。

     

    Abstract: ABSTRACT:Objective To explore the influence of systematic nursing interventions on the mistake aspiration and reflux in patients with cervical vertebral fracture combined with high amputa-tion.Methods A total of 50 patients with cervical vertebral fracture combined with high amputa-tion were randomly divided into control group treated with routine treatment and observation group added with systematic nursing,29 cases for each.The differences of reflux,mistake aspiration and aspiration pneumonia in both groups were observed.Results The rates of reflux,mistake aspira-tion and aspiration pneumonia were evidently lower in observation group than in control group (P <0.05).15 patients in observation group and 17 in control group were given nasal feeding,during which time the observation group was apparently lower in respiratory frequency (P <0.01)and ob-viously higher in oxyhemoglobin saturation (P <0.01).Conclusion Systematic nursing can effec-tively reduce the risks of mistake aspiration and reflux in patients with cervical vertebral fracture combined with high amputation,which serves to be referred.

     

/

返回文章
返回