早期护理干预对重型颅脑损伤并发应激性溃疡出血的影响

Effect of early nursing intervention in severe craniocerebral injury with stress ulcer bleeding

目的:研究早期护理干预对重型颅脑损伤患者并发应激性溃疡出血的影响。方法:将118例重型颅脑损伤患者随机分为干预组60例和对照组58例。干预组采用常规治疗并行早期护理干预(包括识别高危患者、消除应激因素、早期肠内营养支持等);对照组则采用常规方式治疗及护理。观察两组患者应激性溃疡出血的发生率。结果:干预组患者应激性溃疡的发生情况明显低于对照组(P<0.01)。结论:早期护理干预对降低重型颅脑损伤患者应激性溃疡发病率有明显的效果。

Objective：To study the effect of early nursing intervention in severe craniocerebral injury with stress ulcer bleeding. Methods：118 severe craniocerebral injury patients were divided into control group （n= 58） and intervention group （ n= 60） at random. Patients in control group received normal nursing and patients in intervention group were given early nursing intervention. The incidence of stress ulcer bleeding was compared between the two groups. Results：The incidence of stress ulcer bleeding was 11.7% in intervention group and 43.1% in control group （P〈 0.05）. Conclusion：Early nursing intervention can contribute to reducing incidence rate of stress ulcer caused by severe craniocerebral injury.