颅脑手术术中针对性护理对术后并发症的预防效果  

Preventive Effect of Targeted Nursing during Craniocerebral Surgery on Postoperative Complications

作　　者：杨娟 王洁[2] 贾晋莉[1] 杨帅超 奉光举 YANG Juan;WANG Jie;JIA Jinli;YANG Shuaichao;FENG Guangju(Operating Room,Union Shenzhen Hospital,Huazhong University of Science and Technology,Shenzhen,Guangdong Province,518000 China;Department of Anesthesiology,Wuhan Union Hospital,Huazhong University of Science and Technology,Wuhan,Hubei Province,430022 China;Department of Anesthesia and Perioperative Medicine,Union Shenzhen Hospital,Huazhong University of Science and Technology,Shenzhen,Guangdong Province,518000 China)

机构地区：[1]华中科技大学协和深圳医院手术室,广东深圳518000 [2]华中科技大学武汉协和医院麻醉科,湖北武汉430022 [3]华中科技大学协和深圳医院麻醉与围术期医学科,广东深圳518000

出　　处：《中外医疗》2021年第23期162-164,共3页China & Foreign Medical Treatment

摘　　要：目的探究术中针对性护理对颅脑手术患者的护理效果以及对术后并发症的影响。方法方便选取2018年1月—2020年2月在该院接受治疗的颅脑外伤患者68例,采用随机数表法分为观察组和对照组,各34例。其中观察组患者颅脑手术术中采用针对性护理,对照组患者术中采用常规护理。观察两组患者术后的苏醒时间、住院时间、皮肤损伤评分及并发症发生情况。结果观察组的术后苏醒时间(124.00±12.67)min、住院时间(11.26±4.22)d、皮肤损伤评分(2.97±0.21)分均低于对照组,差异有统计学意义(t=4.020、2.456、3.481,P<0.05);观察组术后的并发症总发生率(5.88%)低于对照组(23.53%),差异有统计学意义(χ^(2)=4.221,P<0.05)。结论颅脑手术术中针对性护理能有效缩短苏醒和住院时间,降低并发症的发生率,值得在颅脑手术护理中推广应用。Objective To explore the effect of intraoperative targeted nursing on patients undergoing craniocerebral surgery and its influence on postoperative complications.Methods Convenience selection a total of 68 patients with craniocerebral trauma who were treated in the hospital from January 2018 to February 2020 and divided into observation group and control group by random number table method,with 34 cases in each group.Among them,patients in the observation group received targeted nursing during craniocerebral surgery,and patients in the control group received conventional nursing during surgery.The postoperative wake-up time,hospitalization time,skin damage score and complications of the two groups were observed.Results The postoperative wake-up time(124.00±12.67)min,hospitalization time(11.26±4.22)d,and skin damage score(2.97±0.21)points of the observation group were lower than those of the control group.The difference between the two groups was statistically significant(t=4.020,2.456,3.481,P<0.05);the total incidence of postoperative complications in the observation group(5.88%)was lower than that of the control group(23.53%),the difference was statistically significant(χ^(2)=4.221,P<0.05).Conclusion Targeted nursing during craniocerebral surgery can effectively shorten the time of recovery and hospitalization,and reduce the incidence of complications.It is worthy of popularization and application in the nursing of craniocerebral surgery.

关 键 词：颅脑手术 术中 针对性护理 并发症 皮肤损伤 

分 类 号：R473[医药卫生—护理学]