团队急救模式对军事训练致脑挫裂伤迟发性脑水肿患者神经功能及并发症的影响  

Effects of team-oriented first aid mode on neurological function and complications in patients with delayed cerebral edema occurred in military exercise

作　　者：张晓娜 Zhang Xiaona

机构地区：[1]联勤保障部队第九九〇医院,463000

出　　处：《首都食品与医药》2020年第23期126-128,共3页Capital Food Medicine

基　　金：军事训练致脑挫裂伤迟发性脑水肿的临床研究;课题类别:后勤科研计划;批准文号:JN13W044。

摘　　要：目的探讨团队急救模式对军事训练致脑挫裂伤迟发性脑水肿患者神经功能及并发症的影响.方法回顾性分析我院神经外科2016年3月~2020年3月收治27例因军事训练致脑挫裂伤迟发性脑水肿患者,依据护理急救方式不同分为对照组(13例)与观察组(14例),予以对照组常规急救护理模式,观察组于对照组基础上加用团队急救护理模式.对比两组入院时、护理7d后神经功能变化情况以及并发症发生情况.结果对比两组患者入院时美国国立卫生研究院卒中量表(NIHSS)、格拉斯哥昏迷评分(GCS)评分,差异无统计学意义(P>0.05),护理7d后两组NIHSS评分下降、GCS评分上升,且观察组变化幅度较大,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论军事训练致脑挫裂伤迟发性脑水肿患者采用团队急救模式效果确切,可有效改善患者神经功能,减少并发症发生,利于患者预后,值得临床推广使用.Objective To investigate the effect of team-oriented first aid mode on neurological function and complications in patients with delayed cerebral edema after brain contusion and laceration occurred in military exercise.Methods Medical Records of 27 patients with delayed cerebral edema after brain contusion occurred in military exercise,hospitalized in the department of neurosurgery of our hospital from March 2016 to March 2020 were retrospectively analyzed.They were categorized into control group(13 cases)and observation group(14 cases)according to two types of nursing methods.The control group was given the conventional emergency care model,and the observation group was given additional team-oriented first aid model on the nursing basis of the control group.The neurological function and the bcomplirations were compared with the National Institutes of Health Stroke Scale(NlHSS)and Glasgow Coma Score(GCS)snores between the two groups on admission and 7 days later.Results The score differences of NIHSS and GCS on admission between the two group were not statistically significant(P>0.05).After 7 days of nursing,the NIHSS scores decreased and the GCS scores increased in both groups,and they were much better in observation group,the differences were statistically significant(P<0.05);the inrirlenre of complications in the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion The application of team-oriented first aid model in patients with delayed cerebral edema after brain contusion and laceration occurred in military exercise is effective.It can effectively improve the patient's nerve function,reduce the occurrence of complications,and benefit the prognosis of the patient.It is worthy of clinical application.

关 键 词：脑挫裂伤迟发性脑水肿 团队急救模式 神经功能 并发症 

分 类 号：R473.5[医药卫生—护理学]