护理干预对重型颅脑损伤颅内压增高患者预后的影响  

Influence of nursing intervention on intracranial pressure in patients with severe craniocerebral injury patients

作　　者：罗汝华[1] 刘春燕[1] 莫沛仪[1] 

机构地区：[1]广东省东莞市桥头医院神经外科,广东东莞523538

出　　处：《中国伤残医学》2016年第10期31-32,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探究采用护理干预对于重型颅脑损伤颅内压增高患者预后的影响。方法：选择我院2013年2月～2015年2月收治的重型颅脑损伤颅内压增高患者128例，分为观察组、对照组，各64例。对照组给予患者常规护理方法，观察组给予预见性护理措施，对比2组格拉斯哥评分（ GCS）、住院时间、并发症发生率以及病死率情况。结果：观察组在治疗后GCS评分为12．1±1．5分，显著高于对照组，差异有统计学意义（ P＜0．01）。观察组住院时间为5．2±3．1天，明显短于对照组，差异有统计学意义（P＜0．01）。观察组并发症发生率为20．3％、病死率为18．8％，均显著低于对照组，差异有统计学意义（P＜0．05）。结论：对于重型颅脑损伤颅内压增高给予有效预见性护理，可显著降低并发症发生率和病死率，快速减轻患者昏迷状态，缩短患者住院治疗时间，值得临床推广。Objective：To explore the use of nursing intervention for severe traumatic brain injury, increased intracranial pressure in-fluence prognosis.Methods：Select the hospital in February 2013 to February 2015 with severe brain injury were treated 128 patients with increased intracranial pressure, divided into two groups, the control group, 64 cases each.The control group of patients given usual care methods, observation group nursing care measures, compared two groups of Glasgow score （ GCS） , length of hospital stay, morbidity and mortality conditions.Results：Observation group after treatment GCS score was （12.1 ±1.5） points, significantly higher, the difference was statistically significant （P 〈0.01）.Observation group hospitalization time was （5.2 ±3.1） d, significantly shorter than the control group, the difference was statistically significant （P 〈0.01）.Observation group was 20.3%had complications, mortality was 18.8%, significantly lower than the control group, the difference was statistically significant （P 〈0.05）.Conclusion：For severe head injury, in-creased intracranial pressure provide effective nursing care could significantly reduce the morbidity and mortality in patients with coma rap-id mitigate and shorten patient hospitalization, worthy of promotion.

关 键 词：护理干预 重型颅脑损伤 颅内压增高 

分 类 号：R651.1[医药卫生—外科学]