Clinical interventions on pulmonary infection in patients with severe craniocerebral injury after tracheotomy

Objective To evaluate the measures for preventing and treating pulmonary infection in patients with severe craniocerebral injury after tracheotomy.Methods By prospective and retrospective analysis,clinical intervention measures(use of tracheal tube which can be rinsed,pay attention to the extraction of tracheal tube,active bronchial lavage treatment through fiberbronchoscope,rational nutritional support and regulation of metabolism,sputum excretion by vibrative saliva ejector)were taken according to risk factors of pulmonary infection after tracheotomy.Results In observation group(clinical interventions were taken),pulmonary infection rate in patients was 55.56%(35/63),the average time for controlling infection was(6.33±2.71)d;In control group(clinical interventions were not taken,retrospective analysis),pulmonary infection was 72.31%(47/65),the average time for controlling infection was(8.44±3.14)d;There were significant difference in pulmonary infection rate and time for controlling infection between two groups(χ2=3.89,P0.05;t=3.19,P0.01,respectively).Conclusion After clinical interventions were taken,pulmonary infection in patients with severe craniocerebral injury after tracheotomy reduced obviously,and time for controlling infection was also shortened.