护理干预对防止重型颅脑损伤血肿清除术后再发血肿的作用

Effect of Nursing Intervention on Prevention of Hematoma after Removal of Hematoma in Severe Craniocerebral Injury

目的探讨护理干预对防止重型颅脑损伤血肿清除术后再发血肿的作用。方法对2014年8月1日至2017年4月1日期间在本院接受治疗的80例重型颅脑损伤发生血肿的患者作为研究对象,研究对象采用随机数字表的方法分组设置,对照组患者只进行常规化的护理,观察组在进行常规化护理的基础上,另外采用心理护理、便秘护理、颅压及褥疮护理、饮食与营养护理等规范化护理措施进行干预,观察和记录患者的临床表现。结果实验组搬动患者(<7 d)、呼吸道梗阻、便秘等颅内再发血肿危险因素分别为7.5%、12.5%、2.5%,对照组以上数据分别为60%、50%、20%,具有显著性差异(P<0.01),实验组患者中,术后再发血肿率为7.5%,显著低于对照组患者22.5%,有显著差异(P<0.01)。结论采取规范化流程的护理措施,对防止重型颅脑损伤血肿在发生预防有明显作用,可以在临床中广泛推广。

Objective To explore the effect of nursing intervention on preventing the recurrence of hematoma after removal of hematoma in severecraniocerebral injury. Methods 80 cases of severe brain during the period from August 1, 2014 to April 1, 2017 in our hospital for treatment of injuryhematoma patients as the research object, the research object using the method of random number table group settings, control group only routine nursing,the observation group based on routine nursing, psychological nursing, also with constipation nursing, intracranial pressure and bedsore nursing, dietand nutrition nursing standardized nursing intervention, observe and record the patient＇s clinical manifestations. Results The experimental group patient（〈7 days）, respiratory tract obstruction, constipation and other factors of recurrent intracranial hematoma risk were 7.5%, 12.5%, 2.5% in control group,above data were 60%, 50%, 20%, with a significant difference （P 〈0.01）, the patients in the experimental group, the recurrence rate of hematoma 7.5%,significantly lower than the control group 22.5%, there was significant difference （P 〈0.01）. Conclusion The nursing measures of standardized processhave obvious effect on preventing hematoma of severe craniocerebral injury, and can be widely used in clinical practice.