护理干预在脑外伤患者术中靶控输注丙泊酚麻醉处理中应用分析

Application Analysis of Nursing Intervention on Target Controlled Infusion of Propofol Anesthesia in Patients with Brain Trauma

目的探讨脑外伤急性开颅手术中靶控输注丙泊酚麻醉处理期间进行护理干预对患者疗效及预后的影响。方法选择2013年2月~2014年9月本院收治的脑外伤患者144例,均接受急诊开颅术治疗,按随机数字表法分组,各72例。术中采用靶控输注丙泊酚进行麻醉处理,对照组给予常规护理,观察组在对照组的基础上给予综合性护理干预。采用SPSS17.0软件统计分析数据,比较两组的干预结果。结果观察组的住院时间(12.16±3.19)d、手术时间(87.16±20.17)min、血肿清除率(90.31±11.30)%,均明显优于对照组[(18.73±4.46)d、(152.31±32.41)min、(75.39±10.24)%],差异有统计学意义(P<0.05);观察组并发症发生率4.17%,明显低于对照组19.44%,差异有统计学意义(P<0.05);观察组治疗后生命体征指标均显著优于对照组,差异有统计学意义(P<0.05)。结论脑外伤急性开颅手术中靶控输注丙泊酚麻醉处理期间进行护理干预可明显改善患者预后,疗效显著,值得推广。

Objective To investigate the effect of nursing intervention on the patients’efficacy and prognosis in brain trauma acute craniotomygiven by target controlled infusion(TCI)of propofol anesthesia.Methods144selected patients with brain trauma admitted into the hospital fromFebruary2013to September2014received acute craniotomy,and they were divided by random number table,72cases in each.TCI of propofol anesthesiawas taken during operation.Control group was given routine nursing and observation group took comprehensive intervention on the basis ofcontrol group.The data was analyzed by SPSS17.0statistical software and intervention results of two groups were compared.Results The hospitalstays,operation time,hematoma clearance rate of observation group were(12.16±3.19)d,(87.16±20.17)min,(90.31±11.30)%,which were significantlybetter than(18.73±4.46)d,(152.31±32.41)min,(75.39±10.24)%of control group(P<0.05);The incidence of complications in observation groupwas4.17%,which was significantly lower than19.44%of control group(P<0.05);After treatment,the indexes of vital signs in observation groupwere significantly better than control group(P<0.05).Conclusion Nursing intervention in brain trauma acute craniotomy given by TCI of propofolanesthesia can significantly improve patients’prognosis,which has remarkable efficacy and is worthy of generalization.