摘要
目的颅脑外伤容易导致患者出现昏迷、认知障碍等情况,为改善昏迷患者的康复情况,研究分析采用高压氧配合针对性的护理措施治疗颅脑外伤昏迷患者的效果。方法选取2019年1月至2020年3月本院收治的颅脑外伤患者120例,所有患者均因为颅脑外伤病情出现昏迷情况。采用随机分组法将患者分为两组,其中60例为对照组,采用常规治疗及护理,剩余60例为试验组,采用高压氧配合针对性的护理进行治疗。收集数据,对比两组患者的苏醒时间、格拉斯哥昏迷评分(GCS)以及治疗护理满意度。结果实施不同治疗方案后,试验组患者苏醒时间明显缩短,GCS评分明显优于对照组,患者生命质量得以改善,护理满意度明显提高,三项指标与对照组相比均具有统计学意义(P<0.05)。结论颅脑外伤是临床脑部常见疾病,发生颅脑外伤之后患者会出现各种并发症状,其中外伤昏迷可能导致患者呼吸、神经功能受损等情况,为改善患者昏迷状态,需要根据患者昏迷情况采用高压氧进行治疗。与此同时,给予患者针对性的护理干预,能够有效的提高患者高压氧的治疗效果,帮助患者提前苏醒,改善昏迷症状,使患者的生存质量明显改善,治疗护理满意度方面也明显提高。综合来看,采用高压氧配合针对性的护理,对于因颅脑外伤导致昏迷的患者生存质量改善能力极佳,效果较好。
Objective To study and analyze the rehabilitation effect and nursing measures of hyperbaric oxygen in patients with coma caused by craniocerebral trauma, in order to improve the rehabilitation situation of coma patients. Methods Select January 2019 to March 2020 in our hospital treated 120 cases of patients with craniocerebral injury, all patients were craniocerebral trauma coma condition happen because it is over, the patients divided the patients into two groups by random grouping method, 60 cases as control group using conventional treatment and nursing, the residual treatment with 60 cases as the experimental group with hyperbaric oxygen combined with targeted nursing. Collect data, compared two groups of waking time, Glasgow Coma Scale(GCS) and treatment nursing satisfaction. Results After the implementation of the different treatment options, in the wake up time, Glasgow Coma Scale, satisfaction with care, to revive the experimental group patients were significantly ahead of time, Glasgow Coma Scale was better than control group, patients quality of life improved, nursing satisfaction improved obviously, three indicators compared with the control group were statistically significant(P<0.05). Conclusion Brain craniocerebral trauma is a common disease, will appear all sorts of complication after craniocerebral trauma patients, including patients with traumatic coma may lead to respiratory capacity loss, neural function damage, etc., to improve coma patients, should be treated according to the situation of coma patients with hyperbaric oxygen, at the same time, based on the analysis of cases of patients combined with hyperbaric oxygen treatment for patients with pertinent nursing way can effectively improve the effect of hyperbaric oxygen therapy in patients with, wake up early to help patients, improve the symptoms of coma, quality of life improved significantly in the patients, treatment has also significantly improve nursing satisfaction. In general, hyperbaric oxygen therapy and its nursing work for patients with coma caused by craniocerebral injury has an excellent ability to improve the quality of life, the effect is better.
作者
暴国丹
BAO Guodan(Dalian Port Hospital,Dalian 116011,China)
出处
《中国医药指南》
2021年第5期161-162,共2页
Guide of China Medicine
关键词
颅脑外伤
高压氧治疗
康复护理
苏醒时间
格拉斯哥昏迷评分
护理满意度
Craniocerebral injury
Hyperbaric oxygen therapy
Rehabilitation nursing
Waking time
Glasgow coma Scale
Nursing satisfaction