重症颅脑损伤患者围手术期强化基础管理与各环节护理措施的作用  

Effects of Intensive Basic Management and Nursing Measures in Perioperative Period in Patients with Severe Craniocerebral Injury

作　　者：鲁红梅 叶雅顺[1] LU Hongmei;YE Yashun(Department of Neurosurgery,Xiamen Third Hospital,Xiamen 361000,China)

机构地区：[1]厦门市第三医院神经外科,厦门361000

出　　处：《中国医药指南》2024年第29期20-23,共4页Guide of China Medicine

摘　　要：目的分析重症颅脑损伤患者围手术期强化基础管理与各环节护理措施的作用。方法选取2021年2月至2023年3月我院收治的62例重症颅脑损伤患者,随机分入试验组和对照组,各31例,对照组围手术期采用常规护理,试验组围手术期强化基础管理与各环节护理。比较两组康复效果、并发症发生率以及脑损伤水平、认知功能评分改善情况。结果试验组康复效果优良率高于对照组,并发症发生率低于对照组(均P<0.05)。护理后,试验组重症颅脑损伤患者格拉斯哥昏迷评分法(GCS)评分、Barthel指数水平、蒙特利尔认知评估量表(MoCA)评分以及简易精神状态量表(MMSE)评分均高于对照组(均P<0.05)。结论重症颅脑损伤患者围手术期强化基础管理与各环节护理措施具有良好的作用,有利于提高患者康复效果,促进患者认知功能、生活能力提高,减少并发症发生。Objective To analyze the effect of intensive basic management and nursing measures during perioperative period in patients with severe craniocerebral injury.Methods Sixty-two patients with severe craniocerebral injuries admitted to our hospital from February 2021 to March 2023 were selected and randomly divided into the experimental group and the control group,each with 31 cases;the control group used conventional nursing care during the perioperative period,and the experimental group strengthened the basic management and nursing care of all aspects during the perioperative period.Comparison of rehabilitation outcomes,complication rates,and improvements in brain injury levels and cognitive function scores between the two groups.Results The excellent rate of rehabilitation effect in the test group was higher than that in the control group,and the complication rate was lower than that in the control group(all P<0.05).After the nursing care,the Glasgow coma scale(GCS)score,Barthel Index level,Montreal cognitive assessment(MoCA)score,and mini-mental state examination(MMSE)score of patients with severe craniocerebral injury in the test group were higher than those of the control group(all P<0.05).Conclusions Strengthening basic management and nursing measures during perioperative period of patients with severe craniocerebral injury has a good effect,which is conducive to improving the rehabilitation effect of patients,promoting the improvement of patients'cognitive function and life ability,and reducing the occurrence of complications.

关 键 词：重症颅脑损伤 围手术期 基础管理 环节护理 

分 类 号：R651.15[医药卫生—外科学] R473.6[医药卫生—临床医学]