特重烧伤后肠源性感染的预防及护理
【摘要】目的:探讨特重烧伤后肠源性感染的预防及护理方法。方法:对我院收治的197例特重烧伤患者资料进行分析,选患者中30例发生肠源性感染,根据患者治疗后肠源性感染预防及护理对策将患者分为对照组和实验组,对照组采用常规方法预防护理,实验组采用综合性方法预防护理,比较两组预防护理效果。结果:197例特重烧伤患者中27例初诊早期肠源性感染,感染发生率为12.3%,29例伤后48h禁食且伴休克,肠源性感染发生率为39.4%;94例伤后48h禁食,肠源性感染发生率为9.4%;23例伤后早期肠道营养伴休克肠源性感染发生率为21.8%;94例伤后早期肠道营养肠源性感染发生率为3.1%;实验组预防、护理后心理顾虑评分、生理问题评分、信任感评分,显著高于对照组(P<0.05)。结论:特重烧伤后实施综合性方法预防护理能够降低肠源性感染发生率,值得推广使用。
【关键词】特重烧伤;肠源性感染;预防;护理方法
Abstract Objective: Objective: to study the heavy burns after enterogenic infection prevention and nursing methods. Methods: the data of 197 extra heavy burn patients of our hospital were analyzed, and the selected patients 30 cases occurred enterogenic infection, according to the after treatment in patients with enterogenous infection prevention and nursing countermeasures for patients divided into control group and experimental group and control group using conventional methods preventive care, experimental group by adopting the method of comprehensive prevention and care, compared two groups of preventive care. Results: 197 cases of extra heavy burn patients was 27 cases early enterogenic infection, the incidence of infection was 12.3%, 29 cases fast and 48 h after injury with shock, enterogenic infection rate was 39.4%; 94 cases of 48 h after fasting, enterogenic infection rate was 9.4%; 23 cases of early enteral nutrition after injury with shock enterogenic infection rate was 21.8%; 94 cases of early enteral nutrition after injury enterogenic infection rate was 3.1%; Prevention and nursing group after psychological concerns a grade, the physiological problems, trust ratings, is significantly higher than control group (P < 0.05). Conclusion: extra heavy burn after implementation of a comprehensive preventive nursing method can reduce the incidence of enterogenic infection, worthy of promotion of use.
Key words severe burn; intestinal infection; prevention; care methods
目录:
1.资料与方法
2.结果
3.讨论