护理干预对颅脑损伤手术患者影响.docVIP

护理干预对颅脑损伤手术患者影响 　　[摘要] 目的 探讨护理干预在颅脑损伤手术患者中的治疗效果。方法 整群选取该院神经外科2012年7月―2014年12月收治的124例颅脑损伤手术患者的临床资料，按照数字随机法分为护理组与对照组各62例，对照组进行予常规临床治疗及护理，护理组在此基础上加强护理干预措施，比较2组的治疗效果。 结果 对照组治疗总有效率74.19%，护理组治疗总有效率91.94，护理组治疗总有效率明显高于对照组，治疗效果2组比较差异有统计学意义（Z=-2.250，P0.05）；2组患者在治疗效果、感染率、压疮发生率比较差异显著，护理组患者的效果显著优于对照组患者。 结论 在颅脑损伤手术患者临床护理中，应从以下方面加强：第一时间掌握病情、专科护理、静脉置管护理、并发症防控及处理、恢复性指导，均有助于患者的预后，降低其临床感染发生率，全面促进临床治疗效果。 　　[关键词] 颅脑损伤；手术；感染；护理 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742（2015）11（b）-0156-03 　　[Abstract] Objective To study the therapeutic effect of nursing intervention on patients with craniocerebral trauma surgery. Methods The clinical data of 124 patients underwent craniocerebral trauma surgery in Department of Neurosurgery of our hospital from July 2012 to December 2014 were selected. The patients were divided into the nursing group and the control group with 62 cases in each in accordance with the random digital method. The control group were treated by the conventional clinical treatment and nursing， while the nursing group were treated by the strengthened nursing intervention combined with the conventional clinical treatment and nursing. And the nursing efficacy of the two groups was compared. Results The total effective rate of the nursing group was much higher than that of the control group （91.94% vs 74.19%）， Z=-2.250， P0.05. The nursing group had much better nursing efficacy than the control group. Conclusion In the clinical nursing for patients with craniocerebral trauma surgery， strengthening the following aspects such as first time mastering the condition of illness， specific nursing， venipuncture care， prevention and control and treatment of complication， rehabilitation guidance， all contribute to the prognosis of patients， reduce the prevalence of clinical infection and comprehensively promote the clinical therapeutic effect. 　　[Key words] Craniocerebral trauma； Surgery； Infection； Nursing 　　颅脑损伤在临床上较为常见，有着极高的死亡率与致残率，其死亡率可达30%。伤后患者幸存下来也会留存不同程度语言或肢体方面的认知障碍[1]。该院针对神经外科