Analysis of the effect of evidence-based nursing in respiratory management after tracheotomy in neurosurgery patients
神经外科患者气管切开术后呼吸道管理中循证护理效果分析

摘要

目的 探究在神经外科，对气管切开术后患者开展循证护理为依据的呼吸道管理的效果。方法 选取2022年11月-2023年11月于我院神经我科开展气管切开的90例患者进行研究，根据其就诊先后顺序编号，选取45例接受常规护理的作为对照组，45例接受循证护理的患者作为观察组。对患者术后并发症发病率、血气效果两组数据，以统计学系统辅助进行分析对比。结果 观察组并发症更低p<0.05。观察组二氧化碳分压（PaCO2）低于对照组，动脉氧分压（PaO2）高于对照组（p<0.05）。结论 在神经外科患者气管切开术后呼吸道管理中有效改善动脉血气水平，降低术后并发症风险，可以通过循证护理实现，值得临床推广。

Abstract

Objective To explore the effect of respiratory management based on evidence-based nursing for patients after tracheotomy in neurosurgery.
Methods A total of 90 patients who underwent tracheotomy in the Department of Neurology of our hospital from November 2022 to November 2023 were selected for the study. According to the order of their visits, 45 patients who received routine nursing were selected as the control group, and 45 patients who received evidence-based nursing were selected as the observation group. The two groups of data on the incidence of postoperative complications and blood gas effects of patients were analyzed and compared with the assistance of statistical systems.
Results The observation group had lower complications, p<0.05. The partial pressure of carbon dioxide (PaCO2) in the observation group was lower than that in the control group, and the arterial oxygen partial pressure (PaO2) was higher than that in the control group (p<0.05).
Conclusion   In the respiratory management of neurosurgery patients after tracheotomy, effective improvement of arterial blood gas levels and reduction of the risk of postoperative complications can be achieved through evidence-based nursing, which is worthy of clinical promotion.