摘要
目的:探讨重症颅脑损伤患者急救治疗中临床护理路径的建立方法与效果。方法:选取2016年12月-2018年12月本院急诊收治的102例重症颅脑损伤患者,随机分为对照组和观察组,各51例。对照组按颅脑重症损伤进行常规急救及护理,观察组在对照组基础上实施临床护理路径,对比两组救治结果、并发症情况、救治效率及病情危重程度改善情况。结果:观察组并发症发生率显著低于对照组(P<0.05)。观察组分诊评估时间、建立静脉通道及气管插管时间、急救总时间、住院时间均显著短于对照组(P<0.05)。急救后,观察组APACHEⅡ评分显著低于对照组(P<0.05)。结论:临床护理路径可有效提升重症颅脑损伤患者急救护理质量、急救效果与效率,有利于患者预后改善。
Objective:To explore the method and effect of establishing clinical nursing pathway in emergency treatment of patients with severe craniocerebral injury.Method:A total of 102 patients with severe craniocerebral injury admitted to our hospital from December 2016 to December 2018 were randomly divided into the control group and the observation group, 51 cases in each group.The control group was given routine first aid and nursing according to severe craniocerebral injury, while the observation group was given clinical nursing path on the basis of the control group.The treatment results, complications, treatment efficiency and the improvement of the severity of the disease were compared between two groups.Result:The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).The time of triage evaluation, time of establishment of vein passage and tracheal intubation, total time of first aid and hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).After first aid, the APACHE Ⅱ score of the observation group was significantly lower than that of the control group(P<0.05).Conclusion:Clinical nursing pathway can effectively improve the quality, effect and efficiency of first aid nursing for patients with severe craniocerebral injury, and is conducive to improving the prognosis of patients.
作者
张琴
ZHANG Qin(Pengzhou People’s Hospital,Pengzhou 611930,China)
出处
《中国医学创新》
CAS
2019年第27期111-114,共4页
Medical Innovation of China
基金
四川省医学会科研项目（SHD14-13）
关键词
重症颅脑损伤
急救治疗
临床护理路径
建立
Severe craniocerebral injury
Emergency treatment
Clinical nursing pathway
Establishment
