重症创伤患者的ICU护理要点的临床效果分析.docVIP

重症创伤患者的ICU护理要点的临床效果分析 　　[摘要] 目的 探究重症创伤患者的ICU护理要点的临床效果。方法 方便选取该院2013年12月―2014年12月收治的130例重症创伤患者，全体患者TRISS创伤指数均≥18分，符合重度创伤诊断标准，随机分为两组，实验组与观察组，每组65例，两组患者均行急救与呼吸机治疗后对照组采用常规护理方法观察组于对照组基础上，行ICU护理，观察两组患者出院时间，预后情况，并行对比分析。结果 对照组患者采取常规护理措施，患者出院时间较长（47.78±7.87）d，观察组患者出院时间相对较短（19.78±6.74）d，且经过ICU重症患者要点进行护理，患者恢复良好，65例重症患者经过治疗，总恢复较为理想，经治疗和护理，均于病情稳定后转入专科病房继续治疗，无1例死亡、感染病例，最终均得以康复出院。而对照组出现1例患者由于感染诱发的死亡病例，同时患者恢复时间均较长，患者心理负担明显较重，两组患者出院时间、并发症对比差异有统计学意义。 结论 密切监护患者病情变化，严格掌握呼吸机使用指征，科学给予肠内营养，预防各类并发症发生，并根据患者心理活动，对患者进行心理干预，使患者以良好的身心状态度过术后危险期，促进病情尽早康复。 　　[关键词] 重症创伤；ICU 护理；急救护理 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742（2016）09（b）-0161-03 　　[Abstract] Objective To explore the clinical effect on ICU nursing points of patients with severe trauma. Methods Convenient selected from December 2013 to December 2014 in our hospital 130 cases of severe trauma patients， all patients with TRISS trauma index is greater than or equal to 18 points， with severe trauma diagnostic criteria， were randomly divided to two groups， experimental group and observation group， 65 cases in each group， two groups of patients underwent emergency and ventilation in the treatment of control group received routine nursing care in the observation group than in the control group on the basis of， ICU nursing， observe two groups of patients discharge time， prognosis， parallel comparative analysis. Results The control group were treated by conventional nursing measures， patients were discharged from the hospital for a long time （47.78± 7.87） d， observation group patients were discharged time relatively short （19.78 ± 6.74） d， and through the points of ICU patients for nursing， the patient recovered well， 65 cases of severe patients after treatment. The total recovery is ideal， with treatment and nursing care， in stable condition after into wards to continue treatment， 1 case death， infection， finally can be discharged. While the control group of 1 cases of patients due to infection induced deaths， while patients with longe