摘要
目的探究危机管理干预联合高压氧(HBO)治疗对急诊脑外伤患者疗效、神经功能及预后的影响。方法选择2017年2月至2019年9月辽宁省人民医院急诊科收治的115例脑外伤患者为研究对象,115例患者随机分为对照组(n=57)和观察组(n=58),对照组患者采用常规急救护理联合高压氧(HBO)治疗,观察组患者采用危机管理干预联合HBO治疗。护理2个月后,记录2组患者的临床疗效,采用美国国立卫生研究院卒中量表(NIHSS)和格拉斯哥昏迷评分(GCS)比较2组患者治疗前后的神经功能,采用格拉斯哥预后量表(GOS)和残疾分级量表(DRS)评估功能预后情况,记录2组患者治疗期间的不良反应发生率。结果护理2个月后,观察组临床有效率为89.65%,对照组为71.93%,观察组临床有效率显著高于对照组(P<0.05);观察组患者的NIHSS评分和DRS评分显著低于对照组,GCS评分和GOS评分明显高于对照组,差异具有统计学意义(P<0.05);观察组患者不良事件发生率为8.62%,对照组为28.07%,观察组不良事件发生率显著低于对照组(P<0.05)。结论对脑外伤患者采取危机管理干预联合HBO治疗,能促进患者病情的恢复,显著改善患者的神经功能,提高患者预后评分,降低其不良反应发生率,该种联合干预措施具有重要的临床应用价值。
Objective To explore the effects of crisis management intervention combined with hyperbaric oxygen(HBO)therapy on the treatment,neurological function,and prognosis of patients with emergency brain trauma.Methods A total of 115 patients with traumatic brain injuries admitted to the Emergency Department of the People’s Hospital of Liaoning Province from February 2017 to September 2019 were taken as research objects and were randomly divided into control group(n=57)and observation group(n=58).The control group was given conventional first-aid treatment with HBO therapy,while the observation group was given crisis management intervention combined with HBO therapy on the basis of first aid.After two months of nursing care,the clinical curative effects of the two groups were recorded.The National Institutes of Health stroke scale(NIHSS)and Glasgow coma scale(GCS)were used to compare the neurological functions of the two groups before and after treatment.The Glasgow outcome scale(GOS)and disability rating scale(DRS)were used to evaluate the functional prognosis of the two groups after treatment.The incidences of adverse event of the two groups during treatment were recorded.Results After two months of nursing care,the clinical effective rate of the observation group(89.65%)was significantly higher than that of the control group(71.93%)(P<0.05).The NIHSS scores and DRS scores of the observation group were significantly lower than those of the control group,while the GCS scores and GOS scores were significantly higher than those of the control group,and the above differences were statistically significant(P<0.05).The incidence of adverse events in the observation group(8.62%)was significantly lower than that in the control group(28.07%)(P<0.05).Conclusion Crisis management intervention combined with HBO therapy for patients with brain trauma can promote the recovery of their condition,significantly improve their neurological function and functional prognosis,and reduce the incidence of adverse event.This combined interv
作者
刘洋
马冬冬
Liu Yang;Ma Dongdong(Department of Neurosurgery(I),The People’s Hospital of Liaoning Province,Shenyang 110016,China)
出处
《中华航海医学与高气压医学杂志》
CAS
CSCD
2021年第5期583-588,共6页
Chinese Journal of Nautical Medicine and Hyperbaric Medicine
关键词
危机管理
高压氧治疗
脑外伤
急诊
神经功能
功能预后
Crisis management
Hyperbaric oxygen therapy
Brain trauma
Emergency
Neurological function
Functional prognosis
