急救护理流程优化对自发性脑出血患者手术救治效果的影响
本文关键词: 自发性脑出血 手术 急救护理 疗效 出处:《医学理论与实践》2017年09期 论文类型:期刊论文
【摘要】:目的:探讨急救护理流程优化对自发性脑出血患者手术救治效果的影响。方法:将按标准纳入的77例自发性脑出血患者根据护理流程不同分为两组,观察组39例患者按优化的急救护理流程进行处理,对照组38例患者实施常规急救护理流程。比较两组患者起始救治时间、待手术时间、48h内病死率、手术治疗效果及并发症发生情况。结果:与对照组比较,观察组的起始救治时间和待手术时间更短,48h内病死率和并发症发生率更低,手术治疗效果更好,两组患者比较差异均有统计学意义(P0.05)。结论:优化的急救护理流程使自发性脑出血患者的救治更为积极和主动,缩短了起始救治时间及待手术时间,降低了脑出血早期病死率和并发症发生率,显著提高了治疗效果。
[Abstract]:Objective: to explore the effect of emergency nursing process optimization on the surgical treatment of patients with spontaneous intracerebral hemorrhage. Methods: according to the standard, 77 patients with spontaneous cerebral hemorrhage were divided into two groups according to different nursing process. 39 patients in the observation group were treated according to the optimized first-aid nursing procedure, while 38 patients in the control group were treated with routine first-aid nursing procedure. The initial treatment time and fatality rate within 48 hours after operation were compared between the two groups. Results: compared with the control group, the initial treatment time and the waiting time in the observation group were shorter than those in the control group. The mortality and complication rate were lower in the observation group than in the control group, and the operative treatment effect was better than that in the control group. The difference between the two groups was statistically significant (P 0.05). Conclusion: the optimized emergency nursing process makes the patients with spontaneous cerebral hemorrhage more active and active. The initial treatment time and the operation time were shortened, the early mortality and complication rate of cerebral hemorrhage were reduced, and the therapeutic effect was improved significantly.
【作者单位】: 广东省惠州市第三人民医院急诊科;
【分类号】:R473.6
【正文快照】: 自发性脑出血是院前急救常见急危重症之一,起病急骤,病情在数分钟或数小时内可急转直下,若处理不及时,可使脑组织发生不可逆的损伤甚至危及生命,所以第一时间的抢救对脑出血患者尤为重要[1]。而院前及院内急救护理对挽救患者生命、争取抢救及手术时间、改善患者预后举足轻重。
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