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目的了解颅脑损伤昏迷患者留置胃管集约化护理的效果。方法选取该院收治的重度颅脑损伤昏迷患者150例,随机分为观察组和对照组,每组75例。两组均给予留置胃管鼻饲饮食,对照组在此基础上给予常规的临床护理,观察组则实施集束化护理,比较两组患者的营养疗效及插管后并发症的发生情况。结果颅脑损伤昏迷患者留置胃管后,观察组并发症发生率显著低于对照组(χ~2=5.4652,P<0.05);观察组死亡率为1.33%,低于对照组死亡率9.33%,差异具有统计学意义(χ~2=4.7535,P<0.05)。结论对留置胃管的颅脑损伤昏迷患者实施集束化护理,可有效降低患者并发症发生率,利于患者康复。
Objective To understand the effect of intensive care of gastric tube in patients with cerebral injury and coma. Methods A total of 150 patients with severe brain injury and coma admitted to our hospital were randomly divided into observation group and control group, with 75 cases in each group. Both groups were given gastric tube nasal feeding diet, the control group on the basis of routine clinical care, the observation group was implemented cluster care, nutritional performance of patients in both groups and post-intubation complications occurred. Results The incidence of complications in the observation group was significantly lower than that in the control group (χ ~ 2 = 5.4652, P <0.05). The mortality rate in the observation group was 1.33%, which was lower than that in the control group (9.33% , The difference was statistically significant (χ ~ 2 = 4.7535, P <0.05). Conclusions The intensive nursing care for patients with coma of traumatic brain injury with gastric tube indwelling can effectively reduce the incidence of complications and facilitate the rehabilitation of patients.