摘要
目的:探讨护理干预在高压氧治疗重型颅脑损伤(severe brain injury,SBI)气管切开患者中的应用实效性。方法:将重型颅脑损伤患者62例随机分为观察组及对照组各31例,对照组采取神经外科常规治疗方式,观察组在对照组治疗的基础上进行护理干预。观察2组患者疗效及肺部感染、护理前后GCS评分。结果:观察组与对照组患者的总有效率分别为93.55%及77.42%,其差异有统计学意义(χ2=5.290,P=0.000);观察组患者肺部感染2例,对照组为20例,其差异有统计学意义(χ2=4.289,P=0.010),观察组患者肺部感染控制时间为(7.0±5.1)d,对照组为(12.2±4.2)d,差异有统计学意义(χ2=5.296,P=0.044)。与护理前相比,观察组患者护理1周及护理2周后的GSC评分更高,差异有统计学意义(χ2=5.129,P=0.022;χ2=6.226,P=0.024)。护理1周后、护理2周后的GSC评分,2组间比较差异有统计学意义(χ2=4.129,P=0.043;χ2=5.287,P=0.032)。结论:SBI患者进行有效护理干预后,肺部感染人数减少,能够促进患者康复。
Objective： To explore the application of nursing intervention to high pressure oxygen in treating severe brain injury （SBI） patients undergoing tracheotomy. Methods： Sixty-two SBI patients were randomized into the observation group and the control group, 31 cases each group, the control group adopted routine treatment of neurosurgery department, and the observation group received nursing intervention on the foundation of routine treatment. To observe clinical effects of both groups, pulmonary infection and Glasgow Coma Scales （GCS） before and after nursing. Results： Total effective rates of the observation group and the control group were 93.55% and 77.42% respectively, the difference showed statistical meaning （x^2=-5.290, P=-0.000）; there were two cases complicated with pulmonary infection in the observation group, and 20 cases in the control group, the difference presented statistical meaning （x^2=-4.289, P=-0.010）, pulmonary infection controlling time of the patients in the observation group was （7.0±5.1）d, shorter than （12.2± 4.2）, and the difference demonstrated statistical meaning （x^2=5.296, P=-0.044）. Compared with before nursing, GCS scales were higher in one week and two weeks after nursing of the observation group, the differences had statistical meaning（x^2=-5.129, P=0.022, x^2=-6.226, P=-0.024）. The difference of the comparison showed statistical meaning in the comparison of GCS scales in one week and two weeks after nursing （x^2=4.129, P=-0.043, x^2=5.287, P=-0.032）. Conclusion： Effective nursing intervention for could promote the recovery of SBI patients and reduce the patients with pulmonary infection.
出处
《西部中医药》
2015年第9期128-131,共4页
Western Journal of Traditional Chinese Medicine
关键词
重型颅脑损伤
气管切开
护理干预
高压氧
high pressure oxygen
tracheotomy
nursing intervention
high pressure oxygen
