重型颅脑损伤患者围术期的护理观察与对策

发布时间：2018-01-11 23:11

本文关键词：重型颅脑损伤患者围术期的护理观察与对策　出处：《中华全科医学》2017年04期 　论文类型：期刊论文

【摘要】：目的总结对重型颅脑损伤患者围术期主要护理措施及其临床效果,探讨可供临床借鉴的护理经验。方法回顾性分析绍兴市人民医院2015年6月—2016年6月收治的79例重型颅脑损伤患者的临床资料。患者均经颅内血肿开颅清除术,围术期经专业化护理,护理措施包括手术前后心理护理、特别护理(对症护理,预防并发症,应急护理)、术后康复训练。考察经临床治疗和护理干预后的治疗总有效率、卡氏功能状态评分(KPS)、日常生活能力评分、并发症发生率。结果治疗前KPS评分为(62.3±5.1)分,日常生活能力评分为(52.3±6.0)分;治疗后KPS评分为(86.8±6.9)分,日常生活能力评分为(52.3±6.0)分;治疗后KPS评分(t=10.50,P0.05)、日常生活能力评分(t=13.22,P0.05)均较其治疗前改善明显。患者平均住院时间为45 d。79例重型颅脑损伤患者中,49例治愈(62.03%),21例好转(26.58%),9例(11.39%)病情稳定,临床治疗总有效率为88.61%(70/79)。围术期总并发症发生率为11.39%(9/79)。随访3个月无死亡病例。结论对重型颅脑损伤患者围术期实施专业化护理尤其是心理护理和特别护理有助于患者获得更好的治疗效果。
[Abstract]:Objective to summarize the main nursing measures and their clinical effects in patients with severe craniocerebral injury during perioperative period. Methods the clinical data of 79 patients with severe craniocerebral injury treated in Shaoxing people's Hospital from June 2015 to June 2016 were retrospectively analyzed. Swelling, craniotomy, removal. Perioperative period through specialized nursing, nursing measures include pre-operative psychological care, special care (symptomatic care, prevention of complications, emergency care). Postoperative rehabilitation training. After clinical treatment and nursing intervention, the total effective rate of treatment, KPS score and daily living ability score were evaluated. Results before treatment, KPS score was 62.3 卤5.1 and ADL score was 52.3 卤6.0; After treatment, the scores of KPS and ADL were 86.8 卤6.9 and 52.3 卤6.0 respectively. After treatment, the KPS score was 10.50 and the activity of daily living score was 13.22. The average hospitalization time of the patients was 45 d.79 patients with severe craniocerebral injury 49 cases were cured 62.03). 21 cases improved 26.58% and 9 cases (11.39%) were stable. The total effective rate of clinical treatment was 88.61% and 70 / 79%, and the total complication rate was 11.39% (9 / 79). Conclusion specialized nursing, especially psychological nursing and special nursing, can help patients with severe craniocerebral injury to obtain better therapeutic effect.
【作者单位】：绍兴市人民医院神经外科;
【分类号】：R473.6
【正文快照】： 重型颅脑外伤患者如未能得到及时、有效的救治则致残率很高,甚至可能造成患者死亡[1-2]。及时、合理的治疗,联合全面、专业化的护理干预,有助于提高临床治疗效果和改善预后[3-5]。笔者对79例重型颅脑损伤患者的临床资料作回顾性分析,旨在探讨可供临床借鉴的护理经验。现将结果

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