去大骨瓣减压颞肌贴敷术治疗大面积脑梗死患者几种护理模式的临床应用效果

Effects of several nursing modes in patients with large cerebral infarction treated by decompressing temporal bone muscle with large bone flap decompression

目的:对比研究不同护理模式在去大骨瓣减压颞肌贴敷术治疗大面积脑梗死患者临床护理中的应用价值。方法:将襄阳市中心医院收治的120例大面积脑梗死患者随机分为A组、B组、C组,各组40例。A组进行常规护理,B组进行临床护理路径表护理,C组进行循证护理。于3组患者护理干预前后,根据美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分标准评价患者神经功能缺损程度,并根据格拉斯哥预后分级(Glasgow outcome scale,GOS)评价3组患者预后情况。结果:护理3个月、6个月后,C组患者NIHSS评分低于A组、B组(P<0.05),A组、 B组比较,差异无统计学意义(P> 0.0 5)。在预后良好率,A组、 B组、 C组依次为5 0%、6 2.5%、 8 2.5%, C组高于A组、 B组(P <0.0 5), A组、 B组比较,差异无统计学意义(P> 0.0 5)。结论:于大面积脑梗死患者行去大骨瓣减压颞肌贴敷术治疗中行循证护理能有效提高护理效果,改善患者神经功能缺损程度及预后。

Objective:To comparatively study the efficacy of different nursing modes in the clinical care of patients with large cerebral infarction treated by decompressive temporal muscle application with large bone flaps.Methods:One hundred and twenty patients with large cerebral infarction treated in our hospital were randomly divided into group A,group B and group C,with 40 cases in each group.Group A received routine nursing,group B received clinical nursing path table nursing,and group C received evidence-based nursing.Before and after the nursing intervention of the three groups,the degree of neurological impairment was evaluated according to the National Institutes of Health Stroke Scale(NIHSS)scoring standard,and the prognosis of the three groups was evaluated according to the Glasgow outcome scale(GOS).Results:After three months and six months of nursing,the NIHSS scores of group C patients were lower than those of group A and group B(P<0.05).There was no significant difference between group A and group B(P>0.05).In terms of prognosis,the A,B,and C groups were 50%,62.5%,and 82.5%,respectively.The C group was higher than the A and B groups(P<0.05).There was no significant difference between the A and B groups(P>0.05).Conclusion:Evidence-based nursing in patients with large-scale cerebral infarction who underwent large bone flap decompression and temporal muscle application can effectively improve the nursing effect and improve the degree of neurological deficits and prognosis of patients.