集束化护理在预防重型颅脑损伤患者ICP监测并发症的临床观察.docVIP

集束化护理在预防重型颅脑损伤患者ICP监测并发症的临床观察郑岚，张跃群 (四川大学华西医院重症医学科，四川 成都，610041) 【摘要】目的：探讨集束化护理干预在预防重型颅脑损伤患者ICP并发症的效果。方法： 选取2015年5月至2016年2月期间于四川大学华西医院神经外科ICU收治的82例急性重 型颅脑损伤患者作为研究对象，按随机数字法分为试验组和对照组，其中对照组行常规ICP 护理管理，试验组给予ICP集束化护理管理，分别比较两组置管后肺部感染、泌尿感染、 颅内感染、静脉导管感染，以及颅内血肿和引流管阻塞等并发症的发生情况，同时记录并计 算两组患者机械通气时间、入住ICU时间、住院时间、费用和满意度评分。所得数据利用 统计学软件SPSS 17.0建模分析处理。结果：与对照组相比较，试验组患者的肺部感染、泌 尿感染、颅内感染、静脉导管感染和引流管堵塞等并发症发生率均显著较低，差异均具统计 学意义(PV0.05),但两组患者在ICP监测相关颅内血肿发生情况方面则无显著区别(P 0.05)o结论：集束化护理在预防重型颅脑损伤患者ICP置管相关并发症方面的临床效果显 著，能显著降低感染和引流管阻塞等并发症的发生率，明显缩短住院时间和减少患者经济负 担，大大提高了患者的满意度。 【关键词】集束化护理措施；重型颅脑损伤；颅内压；并发症 Effect of Cluster-based Nursing on Prevention of ICPComplications in Patients with Severe CraniocerebralInjury ZHENG Lan, ZHANG Yue-qun (Department of Critical Care Medicine, West China Hospital of Sichuan University, Chengdu 610041,China) [Abstract] Objective： To explore the effect of cluster-based care on the prevention of ICP complications in patients with severe craniocerebral injury. Methods: A total of 82 patients with acute and severe brain injury admitted to the Department of Neurosurgery of Huaxi Hospital of Sichuan University from May 2015 to February 2016 were selected as the subjects of the study? 82 severe craniocerebral injury patients with ICP monitoring were randomly divided into the study group and the control group? The patients in the control group were treated with routine nursing of ICR the experimental group was given ICP cluster-based care of ICR The incidence rate of pulmonary infection, urinary infection, intracranial infection, venous catheter infection, intracranial hematoma and drainage tube obstruction of the two groups were compared, and the mechanical ventilation time, ICU time, hospitalization time, cost and satisfaction score of two groups were recorded and calculated. The data were analyzed by statistical software SPSS 17.0. Results： The incidence rate of pulmonary infection, urinary infection, intracranial infection, venous catheter infection, and drainage tube obs