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两种不同的护理方法对气管切开处伤口感染的影响 被引量:12

两种不同的护理方法对气管切开处伤口感染的影响
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摘要 目的观察两种不同护理方法对气管切开处伤口患者感染的影响。方法将78例气管切开患者按疾病危重程度评分(APACHEII)后应用分层随机法将患者分为实验组38例与对照组40例。对照组置管后以常规方法进行护理,实验组应用局部五步消毒法进行护理,观察两组患者气管切开处伤口局部改变、细菌感染种类及感染率,并进行分析比较。结果实验组感染率明显低于对照组,气管切开处伤口部改变程度轻于对照组,两组比较,均P<0.05,差异有统计学意义。结论气管切开处伤口采用5步法护理能降低患者感染率,减轻患者的痛苦,值得临床推广应用。 Objective To optimize the catheterization procedures and reduce the rate of infection in patients with tracheotomy. Methods 78 patients treated with tracheotomy were randomly divided into control group (40cases)and experiment group (38 cases). Aseptic technique and routine treatment methods were adopted in the control group, while five-step local sterilization was used in the experiment group. The kinds of infection, rate of infection and local changes at the local incisions were recorded and analyzed. Result The rate of infection and local changes at the incisions in the experiment group were lower and less than those in the control group (P 〈 0.05). Conclusion Five-step local sterilization is effective in lowering the rate of infection, alleviating the patient's pain, and therefore worth popularizing clinically.
机构地区 广西民族医院
出处 《现代临床护理》 2008年第8期27-28,33,共3页 Modern Clinical Nursing
关键词 气管切开 感染 护理 incision of trachea infection nursing
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