临床路径式早期康复训练对颅脑创伤术后患者误吸与吸入性肺炎的影响
| 作者: |
1张佳坡,
2徐善才
1 哈尔滨医科大学附属第二医院神经外科，哈尔滨 150001 2 哈尔滨医科大学附属第一医院神经外科，哈尔滨 150001 |
| 通讯: |
张佳坡
Email: zhangjiapo37@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2016.11.020 |
| 基金: | 黑龙江省中医药科研项目, ZHY12-Z174 |
摘要
目的：探究临床路径式早期康复训练对颅脑创伤术后患者误吸与吸入性肺炎的影响。方法：选取我院2015年3月至2016年3月收治的80例颅脑创伤患者作为研究对象，在确定患者或其家属如实掌握此次研究方案内容且签署知情同意书后随机分为对照组(常规护理)及研究组(临床路径式早期康复训练)各40例，比较两组患者临床护理效果。结果：研究组误吸发生率15%、吸入性肺炎发生率10%，而同期对照组误吸发生率30%、吸入性肺炎发生率20%，组间差异有统计学意义(P<0.05)。结论：临床路径式早期康复训练可显著降低颅脑创伤术后误吸与吸入性肺炎发生率，可作为优选护理方案推广使用。
关键词：
临床路径式早期康复训练
颅脑创伤
误吸
吸入性肺炎
Effect of early rehabilitation training on aspiration and aspiration pneumonia in patients with craniocerebral trauma after operation
CorrespondingAuthor: ZHANG Jiapo Email: zhangjiapo37@163.com
DOI: 10.3978/j.issn.2095-6959.2016.11.020
Abstract
Objective: To explore the effect of early rehabilitation training on aspiration and aspiration pneumonia in patients with traumatic brain injury. Methods: 80 patients with craniocerebral trauma were selected from our hospital during March 2015 to March 2016. After the patients or their families have confirmed the content of our program and signed the informed consent, the 80 patients were randomly divided into the control (routine nursing) group and study group (clinical pathway of early rehabilitation training), with 40 in each group. The incidences of aspiration and aspiration pneumonia in two groups were compared respectively. Results: Study group 15% incidence of aspiration, aspiration pneumonia incidence by 10%, over the same period in the control group 30% incidence of aspiration, aspiration pneumonia incidence by 20%, differences between the two groups was statistically significant (P<0.05). Conclusion: The clinical pathway of early rehabilitation training can significantly reduce the incidence of aspiration and aspiration pneumonia after craniocerebral trauma operation, and can be used as a preferred nursing program.