本文關(guān)鍵詞：重型顱腦損傷患者圍術(shù)期的護(hù)理觀察與對策　出處：《中華全科醫(yī)學(xué)》2017年04期 　論文類型：期刊論文

  更多相關(guān)文章： 重型顱腦損傷 圍術(shù)期護(hù)理 臨床效果

【摘要】：目的總結(jié)對重型顱腦損傷患者圍術(shù)期主要護(hù)理措施及其臨床效果,探討可供臨床借鑒的護(hù)理經(jīng)驗(yàn)。方法回顧性分析紹興市人民醫(yī)院2015年6月—2016年6月收治的79例重型顱腦損傷患者的臨床資料。患者均經(jīng)顱內(nèi)血腫開顱清除術(shù),圍術(shù)期經(jīng)專業(yè)化護(hù)理,護(hù)理措施包括手術(shù)前后心理護(hù)理、特別護(hù)理(對癥護(hù)理,預(yù)防并發(fā)癥,應(yīng)急護(hù)理)、術(shù)后康復(fù)訓(xùn)練。考察經(jīng)臨床治療和護(hù)理干預(yù)后的治療總有效率、卡氏功能狀態(tài)評分(KPS)、日常生活能力評分、并發(fā)癥發(fā)生率。結(jié)果治療前KPS評分為(62.3±5.1)分,日常生活能力評分為(52.3±6.0)分;治療后KPS評分為(86.8±6.9)分,日常生活能力評分為(52.3±6.0)分;治療后KPS評分(t=10.50,P0.05)、日常生活能力評分(t=13.22,P0.05)均較其治療前改善明顯。患者平均住院時(shí)間為45 d。79例重型顱腦損傷患者中,49例治愈(62.03%),21例好轉(zhuǎn)(26.58%),9例(11.39%)病情穩(wěn)定,臨床治療總有效率為88.61%(70/79)。圍術(shù)期總并發(fā)癥發(fā)生率為11.39%(9/79)。隨訪3個(gè)月無死亡病例。結(jié)論對重型顱腦損傷患者圍術(shù)期實(shí)施專業(yè)化護(hù)理尤其是心理護(hù)理和特別護(hù)理有助于患者獲得更好的治療效果。
[Abstract]:Objective to summarize the main nursing measures and their clinical effects in patients with severe craniocerebral injury during perioperative period. Methods the clinical data of 79 patients with severe craniocerebral injury treated in Shaoxing people's Hospital from June 2015 to June 2016 were retrospectively analyzed. Swelling, craniotomy, removal. Perioperative period through specialized nursing, nursing measures include pre-operative psychological care, special care (symptomatic care, prevention of complications, emergency care). Postoperative rehabilitation training. After clinical treatment and nursing intervention, the total effective rate of treatment, KPS score and daily living ability score were evaluated. Results before treatment, KPS score was 62.3 鹵5.1 and ADL score was 52.3 鹵6.0; After treatment, the scores of KPS and ADL were 86.8 鹵6.9 and 52.3 鹵6.0 respectively. After treatment, the KPS score was 10.50 and the activity of daily living score was 13.22. The average hospitalization time of the patients was 45 d.79 patients with severe craniocerebral injury 49 cases were cured 62.03). 21 cases improved 26.58% and 9 cases (11.39%) were stable. The total effective rate of clinical treatment was 88.61% and 70 / 79%, and the total complication rate was 11.39% (9 / 79). Conclusion specialized nursing, especially psychological nursing and special nursing, can help patients with severe craniocerebral injury to obtain better therapeutic effect.
【作者單位】： 紹興市人民醫(yī)院神經(jīng)外科;
【分類號(hào)】：R473.6
【正文快照】： 重型顱腦外傷患者如未能得到及時(shí)、有效的救治則致殘率很高,甚至可能造成患者死亡[1-2]。及時(shí)、合理的治療,聯(lián)合全面、專業(yè)化的護(hù)理干預(yù),有助于提高臨床治療效果和改善預(yù)后[3-5]。筆者對79例重型顱腦損傷患者的臨床資料作回顧性分析,旨在探討可供臨床借鑒的護(hù)理經(jīng)驗(yàn)�，F(xiàn)將結(jié)果

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