重型颅脑损伤合并肺挫伤患者的护理干预
时间：2018-02-17
目的 探讨将护理干预应用于重型颅脑损伤合并肺挫伤患者中的临床效果。方法 选取2014年5月至2016年5月在我院就诊的重型颅脑损伤合并肺挫伤患者80例，按照随机数字法则分为两组，每组40例患者，对照组采取常规护理的方式，实验组采取综合护理干预方法，然后比较两组患者的临床疗效、肺部感染控制的时间及GCS评分。结果 实验组患者的总有效率为87.5%，显著高于对照组的60.00%，差异有统计学意义（P<0.05）；实验组肺部感染控制的时间分别为（4.8±1.3）d，对照组为（12.0±3.8）d，干预后，实验组肺部感染控制时间为（14.5±3.9）d，对照组为（3.8±1.3）d，两组间存在显著性差异（P<0.05）。结论 对重型颅脑损伤合并肺挫伤患者采取护理干预措施，临床恢复疗效显著，肺部感染时间明显缩短，并且预后GCS评分明显增高，可以有效促进患者康复。
[Abstract] Objective To expore the cinica effect of nursing intervention in patients with severe craniocerebra injury combined with pumonary contusion. Methods Eighty patients with severe craniocerebra injury combined with pumonary contusion in our hospita from May 2014 to May 2016 were seected. According to the random number method， the patients were divided into two groups， with 40 patients in each group. The contro group was given routine nursing，and the experimenta group was treated with comprehensive nursing intervention method. Then the cinica efficacy， the time of ung infection contro， GCS score and satisfaction between the two groups were compared. Resuts The tota effective rate of the patients in the experimenta group was 87.5%， which was significanty higher than that of the contro group（60.0%）， and the difference was statisticay significant（P<0.05）. The satisfaction rates of the contro group and the experimenta group were 60.0%， 92.5%，respectivey. The satisfaction rate of the experimenta group was higher than that of the contro group by statistica comparison（P<0.05）. Before nursing， there was no significant difference in GCS scores between the two groups. The GCS score of the experimenta group was（12.8±1.4） points， and the GCS score was （4.8±1.3） points in the contro group （P<0.05）. The score of GCS in the experimenta group was significanty higher than that in the contro group after intervention（P<0.05）. The contro time of pumonary infection in the contro group was（14.5±3.9） days， and the contro time of ung infection in the experimenta group was（8.6±3.8） days， and there was significant difference between the two groups（P<0.05）. Concusion Nursing intervention taken in patients with severe craniocerebra injury and pumonary contusion has significant cinica recovery，which shortens the contro time of ung infection and significanty increases the prognosis of GCS， and can effectivey promote the recovery of patients. 综上所述，对于重型颅脑损伤合并肺挫伤患者，分析其致病的原因，然后采取有效的护理干预措施，不仅可以显著提高临床疗效，还会改善患者的预后生活质量，可以在临床上推广应用。
参考文献
[1]钟丽. 预防重型颅脑损伤患者并发肺部感染的护理体会[J]. 实用临床医药杂志.
[2]田先.田会娟. 预见性护理联合优质护理在重型需脑损伤中应用的效果观察[J].
[3]邵步云.陈谦学. 重型颅脑损伤开颅术后并发脑积水的治疗体会[J]. 中国临床.