RESUMO
Objective To study the application of cluster management in patients with massive cerebral infarction. Methods 200 cases of massive cerebral infarction patients in our hospital were randomly divided into two groups, 100 cases in the experimental group, reduced lip breathing, effective cough, regular turning knock back, inhalation,bronchoscopy were applied; 100 cases in the control group, conventional measures of respiratory care were applied. 3 days, 7 days, 14 days expectoration ability, 7 days, 14 days atelectasis, pulmonary infection,the cases of respiratory failure of patients were observed. Results The independent expectoration capacity in the experimental group was better than the control group, atelectasis, pulmonary infection and respiratory failure of patients in the experimental group were significantly less than the control group. Conclusion Cluster management can improve patients'autonomy massive cerebral infarction expectoration capacity,reduce atelectasis,pulmonary infection,respiratory failure.