摘要
目的 神经外科是当前临床的重点科室之一，患者大部分为颅脑损伤和脑血管疾病等，气管切开是维持神经外科重症患者呼吸道通畅的重要措施，为确保患者的呼吸通畅，有效清除呼吸道内的分泌物，本文探究坐位与侧卧位排痰在神经外科病人气管切开护理中的应用效果。方法 此次针对在我院神经外科接受气管切开治疗合并肺部感染的患者分别使用坐位与侧卧位排痰护理，对比两组患者护理效果。结果 采用坐位排痰护理的患者在临床各项指标和病情恢复时间均优于侧卧位排痰患者，P＜0.05说明存在对比意义。结论 坐位排痰无论在排痰效果、生命体征改善，还是在促进患者总体康复方面，都显示出明显的优势，因此在未来的临床护理中，应优先考虑采取坐位排痰的方式，以帮助患者更好地恢复。
关键词： 神经外科病人；气管切开护理；坐位；侧卧位；排痰；应用效果
Abstract
Objective neurosurgery is one of the key points of current clinical department, most patients with craniocerebral injury and cerebrovascular disease, tracheotomy is the important measure to maintain neurosurgery severe patients' respiratory unobstructed, to ensure that the patient's breathing, effectively removes respiratory secretions, this paper explores the sitting and side position sputum in neurosurgery patient application of tracheotomy nursing effect. Methods For the patients who received tracheotomy treatment combined with lung infection in the neurosurgery department of our hospital, the nursing effect of the two groups was compared. Results For patients in all clinical index and recovery time, and P <0.05 showed comparative significance. Conclusion Sitting sputum discharge shows obvious advantages in terms of sputum discharge effect, improvement of vital signs, and overall rehabilitation of patients, so in future clinical care, priority should be given to help patients to better recovery.
Key words： Neurosurgery patient; Tracheotomy care; Sitting; Lateral position; Sputum discharge; Application effect
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