摘要
目的探讨综合护理在颅脑外伤患者急诊救治中的应用价值。方法 167例急诊科收治的颅脑外伤患者,随机分为对照组(A组)及综合护理组(B组),其中A组予以急诊常规护理,B组在急诊常规护理的基础上再给予综合护理,如严密观察患者血压、脉搏、呼吸等生命体征以及意识、瞳孔等变化;保持呼吸道通畅;有效建立静脉通道以及转运过程中等护理,详细观察患者的病情变化、并发症发生情况及护理效果并进行比较。结果综合护理组的肺部感染及尿路感染发生人数明显少于对照组(P<0.05);下肢深静脉血栓发生情况及死亡人数2组间差异无统计学意义(P>0.05);综合护理组临床疗效显著好于对照组(P<0.05)。结论综合护理能有效降低颅脑外伤患者肺部感染以及尿路感染的发生率,显著提高临床疗效,值得临床在急诊救治颅脑外伤时推广应用。
Objective To investigate the application value of integrated care in emergency treatment of traumatic brain in‐jury. Methods 167 cases with traumatic brain injury admitted to the emergency department were randomly divided into control group （group A） and the integrated care group （group B）.Group A received emergency routine care ,group B was given inte‐grated care on the basis of group A. We carefully observed blood pressure ,pulse ,breathing and other vital signs ,the changes of consciousness ,pupils ;maintained airway patency ;effective intravenous access established. And the changes of condition , complications ,and efficacy were recorded and compared in two groups.Results The number of cases complicated with lung in‐fection and urinary tract infection in group B was significantly less than that in group A （P〈0.05）;and the number of deaths and the incidence of deep vein thrombosis in the two groups showed no significant difference （P〉0.05）;the clinical efficacy of group B was significantly better than that in group A （P〈0.05）.Conclusion Integrated care can effectively reduce the inci‐dence of lung infection and urinary tract infection in patients with traumatic brain injury ,and can significantly improve the clini‐cal efficacy ,which should be worthy of clinical application in emergency treatment.
出处
《中国实用神经疾病杂志》
2015年第9期128-130,共3页
Chinese Journal of Practical Nervous Diseases
关键词
颅脑外伤
综合护理
应用价值
Traumatic brain injury
Integrated care
Application value
