综合护理在轻型颅脑损伤患者中的应用效果  

Clinical Effect of Comprehensive Nursing Applied to Mild Traumatic Brain Injury

作　　者：陶颖慧 冯虹 赵婧如 TAO Yinghui;FENG Hong;ZHAO Jingru(Extramedullary 3 vascular surgery,Dalian central hospital,Dalian,Liaoning 116033)

机构地区：[1]大连市中心医院神外三血管外科,辽宁大连116033

出　　处：《中国伤残医学》2024年第5期132-136,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析综合护理在轻型颅脑损伤患者中的应用效果.方法:选取2019年5月-2021年12月于我院诊治的82例轻型颅脑损伤患者为研究对象,依据随机数字表法将其分为对照组与观察组,各41例.对照组采用常规护理,观察组在对照组的基础上辅以综合护理干预,对比分析2组的护理效果及其对并发症的影响.结果:观察组住院时间为(15.26±3.58)d,短于对照组的(20.27±4.33)d,差异有统计学意义(P<0.05);治疗后,观察组健康调查简表评分为(84.68±3.26)分,高于对照组的(70.72±2.72)分,差异有统计学意义(P<0.05);观察组并发症发生率及死亡率均低于对照组,组间差异有统计学意义(P<0.05).观察组镇静后1、12、24、48h的心率、平均动脉压水平均低于对照组,机械通气时间、ICU住院时间均短于对照组,组间差异有统计学意义(P<0.05).观察组术后1、2d疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05).结论:对于轻型颅脑损伤患者采用综合护理干预有助于稳定HR、MAP水平,缓解术后疼痛,可获得较好的预后恢复效果,且并发症少,患者住院时间短,死亡率低,生活质量得到显著提升.Objective:To analyze the clinical effect of comprehensive nursing applied to mild traumatic brain injury.Methods:82 patients with mild traumatic brain injury diagnosed and treated in our hospital from May 2019 to December 2021 were selected for the study,and they were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group received routine nursing,and the observation group was supplemented with comprehensive nursing intervention on the basis of the control group.The nursing effect and its influence on complications were compared and analyzed.Results:The length of hospitalization in the observation group was(15.26±3.58)d,which was shorter than(20.27±4.33)d in the control group,and the difference between the two groups was statistically significant(P<0.05).Affer treatment,the 36-Item Short Form Survey score of the observation group was(84.68±3.26)points,which was higher than(70.72±2.72)points of the control group,and the difference between the two groups was statistically significant(P<0.05).The incidence of complications and mortality in the observation group were lower than those in the control group,and the diference was statistically significant(P<0.05).The levels of heart rate and mean arterial Pressure in the observation group at 1,12,24 and 48 h after sedation were lower than those in the control group,and the mechanical ventilation time and ICU stay time in the observation group were shorter than those in the control group,with statistical significance between the groups(P<0.05).The pain Visual Analogne Scale scores of the observation group at 1 and 2 days after operation was lower than that of the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion:For patients with mild traumatic brain injury,comprehensive nursing intervention can help stabilize HR and MAP levels,relieve postoperative pain,and obtain a better prognosis and recovery effect,with fewer complications,short h

关 键 词：轻型颅脑损伤 综合护理 并发症 生活质量 

分 类 号：R651.1[医药卫生—外科学]