急诊脑梗塞患者护理分析.docVIP

急诊脑梗塞患者护理分析 　　[摘要] 目的 总结分析急诊脑梗塞患者的临床护理措施。方法 选择2010年6月―2012年12月期间该院急诊收治的120例脑梗塞患者为研究对象，随机分为观察组和对照组各60例，对照组患者给予神经内科常规护理，观察组患者在常规护理基础上给予综合护理措施，观察比较两组患者的神经功能缺损改善、运动功能、日常生活能力等指标的差异。 结果 观察组患者治疗后的NIHSS评分（9.8±2.1）分明显低于对照组，而Barthel评分（72.5±6.2）分及Fugl-Meyer评分（69.5±7.8）分明显高于对照组，差异具有统计学意义（P0.05）。 结论 急诊脑梗塞患者不仅需要神经内科常规护理，还需综合给予心理护理、并发症护理等，以期改善其神经缺损程度，提高运动功能及日常生活能力。 　　[关键词] 急诊；脑梗塞；护理措施；临床分析 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2015）06（a）-0120-03 　　Analysis of the Nursing Care for Emergency Patients with Cerebral Infarction 　　WANG Qing-ping 　　Emergency Department， Xinxiang Central Hospital， Xinxiang， Henan Province，453000 China 　　[Abstract] Objective To summarize and analyze the clinical nursing intervention for emergency patients with cerebral infarction. Methods 120 cases with cerebral infarction admitted in the Emergency Department of our hospital from June 2010 to December 2012 were selected as the subjects and randomly divided into the observation group and the control group with 60 cases in each. The control group were given the conventional nursing of neurology， while the observation group were given comprehensive nursing on the basis of conventional nursing. And the improvement in neurological impairment， motor function and activity of daily living and other indexes were observed and compared between the two groups. Results After treatment， the NIHSS scores were （9.8±2.1） points in the observation group， which were much lower than those in the control group； the Barthel scores were （72.5±6.2） points and Fugl-Meyer scores were （69.5±7.8） points in the observation group， significantly higher than those in the control group， respectively， with statistically significant difference（P0.05）. Conclusion Conventional nursing of neurology and psychological nursing and nursing for complications need to be given to the emergency patients with cerebral infarction in order to improve the neurological impairment and motor function and activity of daily living of the patients.