摘要
目的探讨基于改良早期预警评分(MEWS)的护理干预结合应急预案急救护理对重症颅脑损伤患者救治效果、神经功能及炎症反应的影响。方法回顾性分析100例重症颅脑损伤患者的临床资料,根据护理方法不同将患者分为对照组与观察组,各50例。对照组给予常规护理干预,观察组给予基于MEWS的护理干预结合应急预案急救护理。比较两组护理干预效果。结果观察组的救治成功率高于对照组,病死率及致残率低于对照组(P<0.05)。护理后,观察组的NIHSS、APACHEⅡ评分及P-选择素、sICAM-1水平均低于对照组(P<0.05)。结论基于MEWS的护理干预结合应急预案急救护理应用于重症颅脑损伤患者中,可提高救治效果,促进患者神经功能、预后改善,减轻炎症反应。
Objective To explore the effects of nursing intervention based on modified early warning score(MEWS)combined with emergency plan and emergency nursing on treatment effect,neurological function and inflammatory reaction of patients with severe craniocerebral injury.Methods The clinical data of 100 patients with severe craniocerebral injury were retrospectively analyzed.The patients were divided into control group and observation group by different nursing methods,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given nursing intervention based on MEWS combined with emergency plan and emergency nursing.The nursing intervention effects of the two groups were compared.Results The success rate of treatment in the observation group was higher than that in the control group,and the mortality and disability rate were lower than those in the control group(P<0.05).After nursing,the scores of NIHSS and APACHE Ⅱ,the levels of P-selectin and sICAM-1 in the observation group were lower than those in the control group(P<0.05).Conclusion The nursing intervention based on MEWS combined with emergency plan and emergency nursing applied in patients with severe craniocerebral injury can improve the treatment effect,promote the improvement of patients'neurological function and prognosis,and reduce inflammatory reaction.
作者
魏建玲
文晓箭
WEI Jianling;WEN Xiaojian(the First Hospital of Yulin,Yulin 719000,China)
出处
《临床医学研究与实践》
2021年第29期184-186,共3页
Clinical Research and Practice
关键词
改良早期预警评分
应急预案急救护理
重症颅脑损伤
神经功能
modified early warning score
emergency plan and emergency nursing
severe craniocerebral injury
neurological function
