重型颅脑外伤去骨瓣减压术护理点分析.docVIP

重型颅脑外伤去骨瓣减压术护理要点分析 　　[摘要] 目的 研究探讨重型颅脑外伤去骨瓣减压术护理要点，为今后临床护理工作提供指导参考。 方法 方便选取并回顾分析该院2013年8月―2015年11月期间收治行去骨瓣减压术治疗的71例重型颅脑损伤患者临床资料，根据患者采用的护理措施的差异性分为两组，对照组35例，行常规护理方式进行护理服务，观察组36例，在去骨瓣减压围手术期实行预见性综合护理模式服务；通过对比观察两组患者预后疗效GCS评分改善情况及相关重症并发症情况。 结果 观察组患者护理治疗后格拉斯哥GCS提升为（9.6±0.8）分，明显高于对照组（8.2±0.7）分，差异有统计学意义（t=7.8387，P=0.0000）；观察组患者并发症率明显低于对照组（χ2=12.2465，P=0.0004）差异有统计学意义。结论 在重型颅脑外伤患者行去骨瓣减压术治疗围手术期实施预见性综合护理模式，通过细心、周到的护理，提升患者术后治疗效果，减少围手术期危险，确保患者在医疗就诊安全性。 中国论文网 /6/viewhtm　　[关键词] 重型颅脑外伤；去骨瓣减压术；护理 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742（2016）05（a）-0157-03 　　[Abstract] Objective To research and study the nursing points of decompressive craniectomy for severe craniocerebral injury and provide guidance and reference for the future clinical nursing work. Methods The clinical data of 71 cases of patients with severe craniocerebral injury treated with decompressive craniectomy in our hospital from August 2013 to November 2015 were retrospectively analyzed， and the patients were divided into two groups with 35 cases in each according to the different nursing measures， the control group adopted the conventional nursing model for nursing services， the observation group adopted predictive comprehensive nursing model services during the perioperative period of decompressive craniectomy， and the prognosis， curative effect， GCS score improvement and relevant severe complications of the two groups were compared and observed. Results The Glasgow GCS in the observation group was obviously higher than that in the control group after nursing， [（9.6±0.8） marks vs （8.2±0.7） marks]， and the difference had obvious statistical significance， （T=7.8387， P=0.0000）； the complication rate in the observation group was obviously lower than that in the control group， and the difference had statistical significance， （χ2=12.2465， P=0.0004）. Conclusion Predictive comprehensive nursing model during the perioperative period of decompressive craniectomy for patients with severe craniocerebral injury can imp