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目的：探讨气道监测护理干预对重症颅脑外伤患者预后的影响。方法：回顾分析2010 年1 月-2012 年1 月重症颅脑外伤入住我院ICU 病房均行气管切开机械通气的患者189 例，随机分为两组，对照组和干预组，其中对照组采用常规护理方法进行护理，干预组在常规护理的基础上加强气道监测护理干预，观察比较两组患者ICU 治疗时间、肺部感染情况、呼吸机使用时间、ICU 花费等情况。结果：两组患者比较：干预组肺部感染控制情况明显优于对照组（x2=4.006，P<0.05），考虑差异有统计学意义。干预组患者呼吸机使用时间及ICU 治疗时间均较对照组时间缩短（t=12.9,3.82,3.95 P<0.05），有统计学差异。结论：合理的的气道监测护理能有效减少患者肺部疾病感染等并发症发生率，促进患者病情恢复，临床上值得推广。

英文摘要:

Objective: To explore the influences of airway monitoring and nursing intervention on prognosis of patients with Severe Traumatic Head Injury. Methods: We analyzed 189 patents with severe traumatic head injury, who were hospitalized in ICU ward of our hospital during Jan. 2010 and Jan 2012 and tracheotomy mechanical ventilation was operated. These patients were divided into groups stochastically namely the control group and invention group, while the former nursed through routine nursing method and the later the airway monitoring and nursing intervention were performed except of routine nursing. We observed and compared the ICU treatment time, pulmonary infection, using time of respirator and ICU expenditure, etc. Results: Through comparison of two group's patents, the pulmonary infection control in intervention group is palpably superior to that in the control group (x2=4.006, P<0.05) and the difference is statistically significant. The using time of respirator and ICU treatment time of the patients in the intervention group is shorter than that in the control group (t=12.9,3.82,3.95 P<0.05). There are statistical differences. Conclusions: The rational airway monitoring and nursing could effectively reduce the complication incidence of patient's infection with pulmonary disease to facilitate the recovery of patients. Thus, it is worth of being popularized clinically.

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