重型颅脑外伤患者急救中护理路径的应用

Application of nursing pathway in emergency of patients with serious craniocerebral trauma

目的研究探讨护理路径在重型颅脑外伤患者急救中的应用。方法回顾分析2009年5月～2011年6月本院收治的40例重型颅脑外伤患者,并将其随机分为实验组及对照组,实验组在急救过程中应用护理路径,对照组未采取任何相关护理措施。结果两组患者的抢救时间、费用及住院时间、抢救成功率和死亡率差异均有统计学意义(P<0.05);两组患者肺部感染以及尿道感染发生率差异有统计学意义(P<0.05);两组患者的住院费用比较差异无统计学意义(P>0.05);两组患者应激性溃疡、下肢深静脉血栓以及肾功能不全发生率比较,差异无统计学意义(P>0.05)。结论重型颅脑外伤患者在急救中应用护理路径,可以有效提高抢救效率。

Objective To study and explore the application of nursing pathway in emergency of patients with serious craniocerebral trauma. Methods Forty patients with serious craniocerebral trauma in our hospital from May 2009 to June 2011 were retrospectively analyzed and divided into two groups. The experiment group was taken related nursing measures in emergency treatment, while control group was not used nursing pathway. Results There were statistically significant differences about rescue time, cost and hospital stay time, rate of successful rescue and dead between two groups （P 〈 0.05）. The differences of incidence of lung infection and urinary tract infection were compared and showed statistically significant（P 〈 0.05）. The difference of hospitalized cost were not statistically significant （P 〉 0.05）. The differences of incidence of stress ulcers, lower limb deep vein thrombosis and renal dysfunction were not statistically significant （P 〉 0,05）. Conclusion The nursing pathway in emergency of patients with serious craniocerebral trauma can effectively improve the rescue efficiency.