颅脑损伤患者的手术室急救及护理体会

Emergency and Nursing for Patients with Craniocerebral Injury in Operation Room

目的通过对颅脑损伤患者的手术室急救,动态观察及护理,积累丰富的临床经验,提高抢救能力。方法对2011年12月-2012年12月期间80例急性颅脑损伤手术患者进行回顾性分析,其中男性59例,女性21例,通过规范有效的术前准备,术中抢救护理以及手术后护理,80例患者均在第一时间得到救治,术后对患者的临床疗效,护理满意度及不良反应发生率进行调查。结果 80例患者中,基本治愈58例,显效14例,有效6例,无效2例,总有效率达90.0%,经过术后调查,护理满意度达95.0%,不良反应发生率为7.5%。结论颅脑损伤具有术后并发症多、病死率高、护理复杂等特点,而规范有效的手术室护理干预可显著提高临床疗效和预后质量,降低不良反应发生率,提高患者满意度,值得推广。

Objective To sum up clinical experience of emergency treatment, dynamic observation and nursing care for patients with cranioeerebral injury in operating room,and improve our emergency rescue capabilities. Methods The clinical data of 80 cases （59 male and 21 female） of craniocerebral injury undergoing the surgery therapy in our hospital from Dec. 2011 to Dec. 2012 were analyzed retrospectively. The normative and effective preoperative preparation of patients,intraoperative and post-opera- tive nursing were carried out. All patients were treated timely. The clinical efficacy, patient satisfaction with nursing care and ad- verse effects rate were followed up. Results 58 cases were cured, 14 cases were excellent,6 cases were effective, the total effec- tive rate was 90.0%. The rate of patient satisfaction with nursing care was 95.0% ;the incidence of the adverse reactions was 7.5 %. Conclusion Traumatic brain injuries are commonly with more postoperative complications, high mortality, and need more health cares. The normative and effective operation nursing intervention can significantly improve the clinical therapeutic efficacy and the prognosis of patients, decrease the rate of adverse reactions, improve the satisfaction of patients, and is worthy of promotion.