重型颅脑损伤合并肺挫伤患者的护理干预

　　[摘要] 目的 探讨将护理干预应用于重型颅脑损伤合并肺挫伤患者中的临床效果。 方法 选取2014年5月～2016年5月在我院就诊的重型颅脑损伤合并肺挫伤患者80例，按照随机数字法则分为两组，每组40例患者，对照组采取常规护理的方式；实验组采取综合护理干预方法，然后比较两组患者的临床疗效、肺部感染控制的时间及GCS评分和满意度。 结果 实验组患者的总有效率为87.5%，显著高于对照组（60.00%），差异统计学具有意义（P<0.05），对照组与实验组护理满意度分别为60.0%、92.5%，实验组高于对照组（P<0.05），在护理前，两组患者的GCS评分无显著性差异，实验组干预后GCS评分为（12.8±1.4）分，对照组为（4.8±1.3）分，干预后，实验组GCS评分显著高于对照组（P<0.05）。?φ兆榉尾扛腥究刂剖奔湮?（14.5±3.9）d，实验组肺部感染控制时间为（8.6±3.8）d，两组比较具有显著性的差异（P<0.05）。 结论 对重型颅脑损伤合并肺挫伤患者采取护理干预措施，临床恢复疗效显著，肺部感染控制时间明显缩短，并且预后GCS评分明显增高，可以有效地促进患者痊愈。

　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2017）15-0128-04

　　[Abstract] Objective To explore the clinical effect of nursing intervention in patients with severe craniocerebral injury combined with pulmonary contusion. Methods Eighty patients with severe craniocerebral injury combined with pulmonary contusion in our hospital from May 2014 to May 2016 were selected. According to the random number method， the patients were divided into two groups， with 40 patients in each group. The control group was given routine nursing，and the experimental group was treated with comprehensive nursing intervention method. Then the clinical efficacy， the time of lung infection control， GCS score and satisfaction between the two groups were compared. Results The total effective rate of the patients in the experimental group was 87.5%， which was significantly higher than that of the control group（60.0%）， and the difference was statistically significant（P<0.05）. The satisfaction rates of the control group and the experimental group were 60.0%， 92.5%，respectively. The satisfaction rate of the experimental group was higher than that of the control group by statistical comparison（P<0.05）. Before nursing， there was no significant difference in GCS scores between the two groups. The GCS score of the experimental group was（12.8±1.4） points， and the GCS score was （4.8±1.3） points in the control group （P<0.05）. The score of GCS in the experimental group was significantly higher than that in the control group after intervention（P<0.05）. The control time of pulmonary infection in the control group was（14.5±3.9） days， and the control time of lung infection in the experimental group was（8.6±3.8） days， and there was significant difference between the two groups（P<0.05）. Conclusion Nursing intervention taken in patients with severe craniocerebral injury and pulmonary contusion has significant clinical recovery，which shortens the control time of lung infection and significantly increases the prognosis of GCS， and can effectively promote the recovery of patients. 　　综上所述，对于重型颅脑损伤合并肺挫伤患者，分析其致病的原因，然后采取有效的护理干预措施，不仅可以显著提高临床疗效，还会改善患者的预后生活质量，可以在临床上推广应用。

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