呼唤式护理干预在重型颅脑损伤昏迷患者中应用效果.docVIP

呼唤式护理干预在重型颅脑损伤昏迷患者中应用效果 　　【摘要】 目的：探究分析呼唤式护理干预在重型颅脑损伤昏迷患者中的临床应用效果。方法：选取本院急诊科2012年2月-2015年2月收治的重型颅脑损伤昏迷患者94例作为临床研究对象，采用随机数字表法分为两组，每组各47例。对照组采用常规对症处理和基础护理，试验组在对照组的基础上加用呼唤式护理干预，分析比较两组治疗满1个月后格拉斯哥昏迷计分情况（GCS）和累积醒转例数，综合比较其临床疗效。结果：试验组重型颅脑损伤昏迷患者经呼唤式护理干预1个月后，其3～8分和13～15分格拉斯哥昏迷评分情况分别为6.38%、51.06%明显优于对照组的31.91%、38.30%；且其术后第1、2、3、4周醒转累计人数比（34.04%、53.19%、78.72%、89.36%）均明显优于对照组（14.89%、31.91%、46.81%、65.96%），两组比较差异均有统计学意义（P0.05）。结论：重型颅脑损伤昏迷患者早期进行呼唤式护理干预能在一定程度上促进昏迷患者醒转，有效缩短患者昏迷时间，减少致残和死亡病例的发生，改善患者术后格拉斯哥昏迷评分情况，帮助恢复神经功能，明显提高患者术后生活质量，在临床应用中有一定的优势，值得推广使用。 　　【关键词】 呼唤式护理干预； 重型颅脑损伤昏迷； 临床应用效果 　　【Abstract】 Objective：To explore and analyze the clinical application effect of call nursing intervention on coma patients with severe traumatic brain.Method： 94 coma patients with severe craniocerebral in emergency department of our hospital were selected as clinical study from February 2012 to February 2015， all patients were randomly divided into two groups，47 cases in each group.The control group was given conventional symptomatic treatment and nursing，the experimental group was added with call nursing intervention based on the control group. Two groups’ Glasgow coma score （GCS） and cumulative number of cases of waking after 1 month of treatment were analyzed and compared， their clinical efficacy were comprehensively compared.Result： After call nursing intervention of experimental group， the Glasgow coma score of 3～8 scores and 13～15 scores were respectively 6.38% and 51.06%，they were significantly higher than control group’s 31.91% and 38.30%；the rate of waking people postoperative in the first，second，third and fourth week of experimental group were respectively 34.04%， 53.19%， 78.72% and 89.36%，all of them were significantly better than control group’s 14.89%， 31.91%， 46.81% and 65.96%， the differences were statistically significant（P0.05）.Conclusion：Early call nursing intervention can promote patients with coma woke to a certain extent on treatment of coma patients with severe traumatic brain