急诊护理程序在提高脑出血昏迷患者急救效率和改善急救结局中价值.docVIP

急诊护理程序在提高脑出血昏迷患者急救效率和改善急救结局中价值 　　[摘要] 目的 探讨急诊护理程序在提高脑出血昏迷患者急救效率和改善急救结局中的应用价值。 方法 回顾性分析2012年3月～2015年6月我院急诊科收治的脑出血昏迷患者124例，按照随机数表法分为对照组与观察组，对照组患者进行常规急救护理，观察组患者进行基于急诊护理程序的综合护理。比较两组患者抢救时间、抢救成功率、并发症发生情况以及存活患者3个月后Barthel、FMA评分。 结果 观察组患者抢救时间、并发症发生率均显著低于对照组，差异有统计学意义（P0.05）；抢救成功率以及存活患者3个月后Barthel、FMA评分比较，观察组显著优于对照组（P0.05）。 结论 应用急诊护理程序于抢救脑出血昏迷患者可有效提高急救效率、抢救成功率，改善患者预后情况。 　　[关键词] 急诊护理；脑出血；急救；昏迷 　　[中图分类号] R722.15+1 [文献标识码] A [文章编号] 1674-4721（2016）02（c）-0189-03 　　[Abstract] Objective To explore the clinical value of emergency nursing process in improvement of emergency efficiency and outcome of cerebral hemorrhage coma patients. Methods 124 cases of cerebral hemorrhage coma treated in our department from March 2012 to June 2015 were reviewed and randomly divided into the control group and the observation group.Control group was given routine emergency nursing，while observation group were given comprehensive nursing based on emergency nursing process.The rescue time，rescue success rate，incidence of complications and Barthel and FMA scores of survived patients after 3 months were compared. Results The rescue time and incidence of complications were significantly lower in the observation group than that of control group （P0.05）.The rescue success rate and Barthel and FMA scores of survived patients after 3 months in the observation group were significantly superior to those of control group （P0.05）. Conclusion Emergency nursing process can effectively improve the emergency efficiency，rescue success rate and outcome of cerebral hemorrhage coma patients. 　　[Key words] Emergency nursing；Cerebral hemorrhage；Emergency；Coma 　　脑出血属于心脑血管疾病中高危疾病之一，该病起病急、发展迅速，极易致死、致残，对患者生命安全和生活质量造成严重影响[1]。对于脑出血昏迷患者及时实施有效的急诊护理，可极大地改善患者急救结局，近来报道指出，在临床急救实践中，应用基于急诊护理程序的综合护理可有效地改善脑出血昏迷患者急救效率和急救结局，已取得了较为理想的成果[2-3]。本研究旨在探讨急诊护理程序在抢救脑出血昏迷患者应用价值，为提高急救护理提供现实依据，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　回顾性分析2012年3月～2015年6月我院急诊科收治的脑出血昏迷患者124例，其中64例由家属护送入院患者设为对照组，64例由我院急诊科救援入院患者设为观察组。纳入标准：①患者入院后经头颅磁共振或CT影像学检查诊断为脑出血患者。②无其他脑部疾