实用老年医学

实用老年医学 ›› 2021, Vol. 35 ›› Issue (3): 318-320.doi: 10.3969/j.issn.1003-9198.2021.03.028

• 护理园地 • 上一篇    下一篇

序贯式精准化非人工气道管理在老年颅后窝神经病变术后病人中的应用

陈华玉, 许勤, 李菊花, 王彬彬, 丁敏, 李冲   

  1. 210029 江苏省南京市,南京医科大学第一附属医院神经外科(陈华玉,李菊花, 王彬彬,丁敏);
    210029 江苏省南京市,南京医科大学护理学院(许勤);
    210029 江苏省南京市,南京医科大学第一临床医学院(李冲)
  • 收稿日期:2020-06-24 发布日期:2021-04-02
  • 通讯作者: 许勤,Email: qinxu@njmu.edu.cn

Application of sequential precision non-artificial airway management in elderly patients after posterior cranial fossa surgery

CHEN Hua-yu, LI Ju-hua, WANG Bin-bin, DING Min, XU Qin, LI Chong   

  1. CHEN Hua-yu, LI Ju-hua, WANG Bin-bin, DING Min. Department of Neurosurgery, the First Affiliated Hosptial of Nanjing Medical University, Nanjing 210029, China;
    XU Qin. School of Nursing, Nanjing Medical University, Nanjing 210029, China;
    LI Chong. the First School of Clinical Medicine, Nanjing Medical University, Nanjing 210029, China
  • Received:2020-06-24 Published:2021-04-02

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摘要： 目的 探讨序贯式精准化非人工气道管理在老年颅后窝神经病变开颅术后病人中的应用效果。方法 选取2018年1~12月开颅术后意识障碍进行常规气道管理的病人70例作为对照组,同时选取2019年1~12月开颅术后意识障碍采用序贯式精准化气道管理的病人67例作为研究组,比较2组病人吸痰并发症发生率、肺部感染发生率、气管插管率和平均住院天数。结果 研究组病人吸痰并发症发生率、肺部感染发生率和平均住院天数明显低于对照组,差异具有统计学意义(P<0.05);2组间的气管插管率差异无统计学意义(P>0.05)。结论 序贯式精准化非人工气道管理有助于减少神经外科意识障碍病人的吸痰并发症,降低肺部感染发生率和住院天数,是一种安全有效的气道管理方法。

关键词: 气道管理, 序贯式护理, 精准化护理, 颅后窝术后, 肺部感染

Abstract: Objective To explore the effect of sequential accurate non-artificial airway management in the elderly patients with posterior fossa neuropathy after craniotomy. Methods A total of 70 patients with consciousness disturbance undergoing routine airway management after craniotomy from January to December 2018 were selected as the control group. At the same time, 67 patients received sequential, precise airway management from January to December 2019 were chosen as the study group. The incidence of sputum aspiration complications, endotracheal intubation rate and average length of hospital stay were evaluated and compared between the two groups. Results The incidence rate of sputum aspiration complications, pulmonary infection in the study group was significantly lower than that of the control group(P<0. 05), as well as the average length of hospital stay. There was no significant difference in the rate of endotracheal intubation between the two groups(P>0. 05). Conclusions Sequential precision non-artificial airway management can reduce the incidence of sputum aspiration complications, pulmonary infection and the length of hospital stay in patients with neurosurgical consciousness disorder, and is a safe and effective airway management method.

Key words: airway management, sequential care, precision care, posterior fossa surgery, pulmonary infections

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