卒中单元重症监护对急性重症脑卒中的护理临床疗效分析

Analysis of Clinical Curative Effect of Intensive Care of Stroke Unit on Acute Severe Stroke

目的探讨卒中单元重症监护对急性重症脑卒中患者的护理效果。方法将2018年4月—2019年4月期间于该院就诊的70例急性重症脑卒中患者应用盲选分组法分为对照组和观察组,各35例。对照组给予常规护理,观察组在常规护理基础上开展卒中单元重症监护。对比两组的神经功能缺损情况、意识状态、并发症发生率和生活自理能力。结果护理后,观察组(14.2±2.9)分的神经功能缺损程度量表(NIHSS)评分低于对照组(19.8±4.2)分,差异有统计学意义(t=6.490,P=0.010);观察组(13.4±2.2)分格拉斯哥昏迷量表(GCS)评分高于对照组(8.5±1.6)分,差异有统计学意义(t=10.660,P=0.010)。观察组(8.6%)的并发症总发生率低于对照组(45.7%),差异有统计学意义(χ~2=12.210,P=0.010);观察组患者(74.3%)的总生活自理能力水平高于对照组患者(40.0%),差异有统计学意义(χ~2=8.400,P=0.010)。结论卒中单元重症监护在急性重症脑卒中护理中的应用效果显著,可有效改善患者的神经功能缺损情况和意识状态,降低并发症发生率,提升生活自理能力。

Objective To explore the nursing effect of stroke unit intensive care on patients with acute severe stroke.Methods From April 2018 to April 2019,70 patients with acute severe stroke who were treated in the hospital were divided into a control group and an observation group using blind selection grouping,35 cases in each group.The control group was given routine care,and the observation group carried out stroke unit intensive care on the basis of routine care.The neurological deficit,consciousness,complication rate and life self-care ability of the two groups were compared.Results After nursing,the observation group(14.2±2.9)points neurological deficit degree scale(NIHSS)score was lower than the control group(19.8±4.2)points,the difference was statistically significant(t=6.490,P=0.010);the observation group(13.4±2.2)points,the Glasgow Coma Scale(GCS)score was higher than the control group(8.5±1.6)points,the difference was statistically significant(t=10.660,P=0.010).The total incidence of complications in the observation group(8.6%)was lower than that in the control group(45.7%),the difference was statistically significant(χ~2=12.210,P=0.010);patients in the observation group(74.3%)had higher levels of total self-care ability than those in the control group(40.0%),the difference was statistically significant(χ~2=8.400,P=0.010).Conclusion Stroke unit intensive care has significant application effect in the nursing of acute severe stroke,it can effectively improve the patient’s neurological deficit and consciousness,reduce the incidence of complications,and improve the ability of selfcare in life,which is worthy of popularization and application.