摘要
目的 分析基于低钠血症预警评分的系统干预在颅脑损伤患者中的应用效果。方法 选择2022年1月至2023年1月于江苏省人民医院神经外科进行治疗的颅脑损伤患者102例为研究对象,按照随机数字表法将其分为观察组和对照组,各51例。观察组接受基于低钠血症预警评分的系统干预,对照组接受常规干预,两组均干预至出院。比较两组干预期间低钠血症发生率、住院时间,干预前后认知功能、日常生活能力[Barthel指数(BI)评定]、意识状态[格拉斯哥昏迷评分法(GCS)]、疼痛情况[面部表情疼痛评分法(FPS-R)]、营养水平及干预期间并发症发生率。结果 观察组低钠血症发生率低于对照组,住院时间短于对照组(P<0.05)。干预后,两组认知功能各项评分较干预前升高,且观察组高于对照组(P<0.05)。干预后,两组BI、GCS评分较干预前升高,FPS-R评分较干预前降低,且观察组BI、GCS评分高于对照组,FPS-R评分低于对照组(P<0.05)。干预后,两组体重指数、血清白蛋白水平较干预前升高,且观察组高于对照组(P<0.05),观察组营养不良发生率低于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论 基于低钠血症预警评分的系统干预可降低颅脑损伤患者低钠血症发生风险、改善认知功能等,控制并发症的发生,应用价值高。
Objective To analyze the application effect of systematic intervention based on hyponatremia early warning score in patients with craniocerebral injury.Methods A total of 102 patients with craniocerebral injury who were treated in the Department of Neurosurgery,Jiangsu Provincial People’s Hospital from January 2022 to January 2023 were selected,and they were divided into the observation group and the control group by random number table method,with 51 cases in each group.The observation group received systematic intervention based on early warning score of hyponatremia,and the control group received routine intervention.Both groups were intervention until discharge.The incidence of hyponatremia,length of hospital stay,cognitive function before and after the intervention,ability of daily living(Barthel index[BI]rating),state of consciousness(Glasgow coma score[GCS]),pain condition(Wong-Baker face pain scale revision[FPS-R]),nutritional level,and complication rate during the intervention were compared between the two groups.Results The incidence of hyponatremia in the observation group was lower than the control group,the hospital stay of the observation group was shorter than the control group(P<0.05).After intervention,the scores of cognitive function in both groups were higher than those before intervention,and observation group was higher than control group(P<0.05).After intervention,BI and GCS scores were higher than those before intervention,FPS-R scores were lower than those before intervention,BI and GCS scores in observation group were higher than control group,FPS-R scores were lower than control group(P<0.05).After intervention,the body mass index and serum albumin levels in both groups were higher than those before intervention,and observation group was higher than control group(P<0.05),and the incidence of malnutrition in observation group was lower than control group(P<0.05).The incidence of complications in observation group was lower than that in control group(P<0.05).Conclusion Systematic interve
作者
王瑶
林超
WANG Yao;LIN Chao(Department of Neurosurgery,Jiangsu Provincial People’s Hospital,Jiangsu Province,Nanjing210029,China)
出处
《中国医药导报》
CAS
2024年第10期129-133,共5页
China Medical Herald
基金
国家自然科学基金资助项目(81901258)。
关键词
低钠血症预警评分
系统干预
颅脑损伤
认知功能
Early warning score of hyponatremia
System intervention
Craniocerebral injury
Cognitive function
