消化道护理干预对重型颅脑外伤患者并发症及预后的影响  

Effect of digestive tract nursing intervention on complications and prognosis of severe craniocerebral trauma patients

作　　者：李德凤[1] 张艳[1] 仲爱玲[1] 

机构地区：[1]江苏省南通大学附属海安医院重症医学科,南通市226600

出　　处：《护理实践与研究》2016年第19期99-101,共3页Nursing Practice and Research

摘　　要：目的：探讨消化道护理干预对重型颅脑外伤患者并发症及预后的影响。方法：选取2014年5月~2016年5月本院外科ICU收治的128例重型颅脑外伤患者,将患者随机等分为观察组及对照组,两组患者均行呼吸机辅助治疗,对照组治疗期间应用常规护理干预,观察组治疗期间应用消化道护理干预,比较两组患者并发症及预后情况。结果：观察组呼吸机相关性肺炎（VAP）、消化道溃疡发生率低于对照组（P〈0.05）。观察组机械通气时间、ICU入住时间、平均住院时间短于对照组（P〈0.05）。观察组出院时日常生活能力指数（BI）、Fugl-Meyer运动功能积分（FMA）高于对照组（P〈0.05）。结论：对神经外科重症颅脑外伤患者在机械通气期间加强消化道护理干预将有助于降低患者并发症发生率,缩短患者机械通气时间及住院时间,有利于改善患者预后。Objective： To explore the effect of digestive tract nursing intervention on the complications and prognosis of patients with severe craniocerebral trauma. Methods： Selected 128 cases of patients with craniocerebral trauma who were treated in the ICU of surgical department dated from May 2014 to May2016 and randomly divided them into observation group and control group equally. The patients in both groups received ventilator adjuvant therapy. During the treatment,the control group was treated with routine nursing intervention,while the observation group was treated with digestive tract nursing intervention. The complications and prognosis of the two groups were compared. Results： The incidence of ventilator- associated pneumonia（ VAP） and peptic ulcer of the observation group was lower than that of the control group（ P〈0. 05）. The duration of mechanical ventilation,ICU stay and average hospital stay of the observation group were shorter than that of the control group（ P〈0. 05）. The daily living ability index（ BI） and scores of Fugl- Meyer Assessment of Sensorimotor Recovery（ FMA） of the observation group were higher than those of the control group（ P〈0. 05）. Conclusion： Reinforcing gastrointestinal nursing intervention in patients with severe craniocerebral trauma during mechanical ventilation will help to reduce the incidence of complications,shorten the duration of mechanical ventilation and length of hospital stay,and improve the prognosis of patients.

关 键 词：消化道护理干预 重型颅脑外伤 并发症 预后 

分 类 号：R473.6[医药卫生—护理学]