早期护理对重型颅脑外伤患者治疗的效果分析

Effect of Early Care on Severe Brain Trauma Patients

目的探讨早期护理对重型颅脑外伤患者治疗的应用效果。方法方便选取该院2016年6月—2017年12月该院收治的80例重型颅脑外伤患者作为研究对象,根据入院顺序编号并利用随机数表法将其分组,对照组(n=40)患者采用常规护理,观察组(n=40)予以早期护理,对比两组患者昏迷程度、住院时间、并发症发生率及日常生活能力差异。结果护理后观察组GCS(格拉斯哥昏迷量表)评分为(12.8±2.4)分,生理能力良好者占比82.5%,均明显优于对照组(9.9±1.9)分、47.5%,差异有统计学意义(t=5.992,P=0.000,χ~2=10.769,0.001);观察组并发症发生率为5.0%,明显低于对照组22.5%,组间数据对比差异有统计学意义(χ~2=5.165,P=0.023);观察组住院时间为(6.8±2.1)d,明显短于对照组(9.0±2.9)d,差异有统计学意义(t=3.886,P=0.000)。结论早期护理用于重型颅脑外伤患者治疗的效果显著,能够有效改善患者预后,值得临床推广。

Objective This paper tries to explore the effect of early nursing on severe craniocerebral trauma patients.Methods 80 patients with severe traumatic brain injury treated in the hospital from June 2016 to December 2017 were convenient selected as the study subjects, and grouped them according to the number of admissions and using the random number table method. Patients in the control group（n=40） were selected for routine care, the observation group（n=40） was given early care and the degree of coma, length of hospital stay, incidence of complications, and differences in daily living ability were compared between the two groups. Results The GCS（Glasgow coma scale） score in the observation group was（12.8±2.4） points in the observation group and 82.5% in those with good physical ability, which was significantly better than the control group（9.9±1.9） points and 47.5%. The difference was statistically significant（t=5.992, P=0.000,χ~2=10.769,0.001）;the incidence of complications in the observation group was 5.0%, which was significantly lower than that in the control group（22.5%）. There was a significant difference between the groups（χ~2=5.165, P=0.023）. The length of stay in the observation group was（6.8±2.1）d, which was significantly shorter than that in the control group（9.0±2.9）d. The results showed significant differences（t=3.886, P=0.000）. Conclusion Early care is effective for the treatment of patients with severe traumatic brain injury. It can effectively improve the prognosis of patients and is worthy of clinical promotion.