摘要
目的 随着社会经济的不断发展，人们的护理意识和护理知识也不断增强。现研究对神经外科病人在气管切开护理中使用坐位与侧卧位进行排痰的应用效果和应用价值观察。方法 此次临床研究观察对象均为2020年12月至2021年12月在我院经组织学或细胞学确诊的神经外科患者，共计110例，按护理措施不同将患者平均分为常规护理组和坐卧位护理组（每组各55例）。经过治疗并结合不同护理方案后评价对比两组患者的排痰量、护理效果和显效时间等。结果 经过数据分析发现，坐卧位护理组患者经护理后的排痰量明显更多，护理效果更好，同时显效时间更快，组间数值P＜0.05，说明存在对比意义。结论 使用坐位与侧卧位进行排痰护理的临床效果显著，能够有效地提升排痰量，加快患者恢复健康进程，改善患者的生活品质，提高护理的质量和效率，缩短治疗、护理时间，值得大范围推广，建议提倡。
关键词： 坐位与侧卧位；排痰；神经外科；气管切开；应用效果和价值
Abstract
Objective with the continuous development of social economy, people's nursing awareness and nursing knowledge are also increasing. This study is to observe the application effect and value of sputum drainage in sitting and lateral position in neurosurgical patients during tracheotomy nursing. Methods: the subjects of this clinical study were 110 neurosurgical patients diagnosed by histology or cytology in our hospital from December 2020 to December 2021. According to different nursing measures, the patients were divided into routine nursing group and sitting and lying position nursing group (55 cases in each group). After treatment and combined with different nursing schemes, the amount of sputum excretion, nursing effect and effective time of the two groups were evaluated and compared. Results: after data analysis, it was found that the patients in the sitting and lying position nursing group had significantly more sputum excretion, better nursing effect, and faster effective time. The value between the groups was p < 0.05, indicating that there was comparative significance. Conclusion : the clinical effect of expectoration nursing in sitting and lateral position is remarkable. It can effectively improve the amount of expectoration, accelerate the process of patients' recovery of health, improve the quality of life of patients, improve the quality and efficiency of nursing, and shorten the treatment and nursing time. It is worthy of wide promotion and recommended to be advocated.
Key words： sitting position and lateral position; expectoration; neurosurgery; tracheotomy; application effect and value
参考文献 References
[1] 唐敏,蒋成芳,袁萍,吴凌云.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观察[J].护理研究,2022,36(04):3-15.
[2] 郭秀俊.目标策略的针对性护理干预在重症颅脑损伤后气管切开患者高压氧治疗过程中的应用[J].中国药物与临床.2020，(05)：57-79.
[3] 黄妍,张军,安旭,耿尚勇等.纤维鼻咽喉镜吞咽功能检查对脑卒中气管切开拔管指征的指导意义[J].中华保健医学杂志.2019，(06)：113-119.
[4] 钱颖. 坐位排痰在神经外科气管切开患者早期拔管中的评估应用[J]. 医学食疗与健康, 2021, 19(28):80-80.
[5] 茅益东李倩瞿红玉严炜炜. 重症肺部感染行气管切开后的患者半卧位改低斜坡俯卧位通气排痰的临床效果分析[J]. 保健文汇, 2020, 000(020):144-145.
[6] 王芳, 杨艳, 高珊,等. 开胸术后患者气道排痰的护理干预分析[J]. 健康之友 2020年22期, 177页, 2020.
[7] 王耀娟, 施景芳,周松茂,等.神经外科气管切开患者坐位与侧卧位排痰效果比较[J]. 护理学杂志, 2018, 33(4):3.
[8] 唐敏蒋成芳袁萍吴凌云. 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观察[J]. 护理研究, 2022, 36(4):738-740.
[9] 周慧玲. 持续湿化联合排痰机排痰治疗对神经外科重症并气管切开患者的应用效果分析[J]. 中国医疗器械信息, 2021, 27(23):3.
[10] 吴媛媛. 改良吸痰技术在神经外科气管切开患者吸痰中的应用[J]. 特别健康 2021年32期, 50页, 2021.