责任制程序化营养护理联合感觉刺激在重症颅脑损伤患者术后的应用  

Application of responsibility programmed nutritional nursing combined with sensory stimulation in patients with severe craniocerebral injury after operation

作　　者：王霄红 梅玲凤 胡晶晶 夏慧华 黎曙霞 WANG Xiaohong;MEI Lingfeng;HU Jingjing;XIA Huihua;LI Shuxia(Department of Intensive Care,Jiujiang Third People's Hospital,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]江西省九江市第三人民医院重症医学科,江西九江332000

出　　处：《中国当代医药》2025年第7期177-180,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220218042);江西省九江市年度科技计划项目(S2023ZDYFN402)。

摘　　要：目的探讨责任制程序化营养护理联合感觉刺激在重症颅脑损伤患者术后的应用效果。方法选取2021年1月至2024年1月九江市第三人民医院重症医学科收治的60例重症颅脑损伤的术后患者作为研究对象,按照随机数字表法分为对照组(30例)与观察组(30例)。对照组采用常规ICU护理,观察组在对照组方法的基础上,加用责任制程序化营养护理联合感觉刺激。比较两组患者的营养指标、脑电图变化情况、意识障碍程度评分。结果干预后,观察组的血浆蛋白、前清蛋白、转铁蛋白水平均高于对照组,观察组的脑电图等级优于对照组,观察组的全面无反应性量表(FOUR)、格拉斯哥昏迷评分(GCS)均高于对照组,差异有统计学意义(P<0.05)。结论在重症颅脑损伤患者的术后,应用责任制程序化营养护理联合感觉刺激,能取得更为理想的效果,患者的营养状态明显地提升,对于脑电图的恢复、意识障碍程度的减轻具有积极的作用,值得临床采纳。Objective To explore the application effect of responsibility programmed nutritional nursing combined with sensory stimulation in patients with severe craniocerebral injury after operation.Methods A total of 60 postoperative patients with severe craniocerebral injury admitted to the Department of Intensive Care,Jiujiang Third People's Hospital from January 2021 to January 2024 were selected as the research objects.According to the random number table method,they were divided into control group(30 cases)and observation group(30 cases).The control group was given routine ICU nursing,while the observation group was given responsibility programmed nutritional nursing combined with sensory stimulation on the basis of the control group.The nutritional indicators,electroencephalogram changes,and degree of disturbance of consciousness scores were compared between the two groups.Results After intervention,the levels of plasma protein,prealbumin and transferrin in the observation group were higher than those in the control group,the EEG grade of the observation group was better than that of the control group,and the full outline of unresponsiveness scale(FOUR)and Glasgow coma scale(GCS)of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion In the postoperative patients with severe craniocerebral injury,the application of responsibility programmed nutritional nursing combined with sensory stimulation can achieve more ideal results,significantly improve the nutritional status of patients,and has a positive effect on the recovery of electroencephalogram and the alleviation of consciousness disorders,which is worthy of clinical adoption.

关 键 词：责任制程序化营养护理 感觉刺激 重症 颅脑损伤 

分 类 号：R473.74[医药卫生—护理学]