本文關(guān)鍵詞： 自發(fā)性腦出血 手術(shù) 急救護(hù)理 療效　出處：《醫(yī)學(xué)理論與實(shí)踐》2017年09期 　論文類型：期刊論文

【摘要】：目的:探討急救護(hù)理流程優(yōu)化對(duì)自發(fā)性腦出血患者手術(shù)救治效果的影響。方法:將按標(biāo)準(zhǔn)納入的77例自發(fā)性腦出血患者根據(jù)護(hù)理流程不同分為兩組,觀察組39例患者按優(yōu)化的急救護(hù)理流程進(jìn)行處理,對(duì)照組38例患者實(shí)施常規(guī)急救護(hù)理流程。比較兩組患者起始救治時(shí)間、待手術(shù)時(shí)間、48h內(nèi)病死率、手術(shù)治療效果及并發(fā)癥發(fā)生情況。結(jié)果:與對(duì)照組比較,觀察組的起始救治時(shí)間和待手術(shù)時(shí)間更短,48h內(nèi)病死率和并發(fā)癥發(fā)生率更低,手術(shù)治療效果更好,兩組患者比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:優(yōu)化的急救護(hù)理流程使自發(fā)性腦出血患者的救治更為積極和主動(dòng),縮短了起始救治時(shí)間及待手術(shù)時(shí)間,降低了腦出血早期病死率和并發(fā)癥發(fā)生率,顯著提高了治療效果。
[Abstract]:Objective: to explore the effect of emergency nursing process optimization on the surgical treatment of patients with spontaneous intracerebral hemorrhage. Methods: according to the standard, 77 patients with spontaneous cerebral hemorrhage were divided into two groups according to different nursing process. 39 patients in the observation group were treated according to the optimized first-aid nursing procedure, while 38 patients in the control group were treated with routine first-aid nursing procedure. The initial treatment time and fatality rate within 48 hours after operation were compared between the two groups. Results: compared with the control group, the initial treatment time and the waiting time in the observation group were shorter than those in the control group. The mortality and complication rate were lower in the observation group than in the control group, and the operative treatment effect was better than that in the control group. The difference between the two groups was statistically significant (P 0.05). Conclusion: the optimized emergency nursing process makes the patients with spontaneous cerebral hemorrhage more active and active. The initial treatment time and the operation time were shortened, the early mortality and complication rate of cerebral hemorrhage were reduced, and the therapeutic effect was improved significantly.
【作者單位】： 廣東省惠州市第三人民醫(yī)院急診科;
【分類號(hào)】：R473.6
【正文快照】： 自發(fā)性腦出血是院前急救常見急危重癥之一,起病急驟,病情在數(shù)分鐘或數(shù)小時(shí)內(nèi)可急轉(zhuǎn)直下,若處理不及時(shí),可使腦組織發(fā)生不可逆的損傷甚至危及生命,所以第一時(shí)間的搶救對(duì)腦出血患者尤為重要[1]。而院前及院內(nèi)急救護(hù)理對(duì)挽救患者生命、爭取搶救及手術(shù)時(shí)間、改善患者預(yù)后舉足輕重。

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