不同急诊护理路径对重型颅脑损伤患者抢救效果及预后情况的比较

Comparison of rescue effects and prognosis of patients with severe craniocerebral injuries by different emergency nursing pathways

目的比较不同急诊护理路径对重型颅脑损伤患者的抢救效果及预后情况。方法选取2019年9月至2020年9月华中科技大学同济医学院附属同济医院收治的110例重型颅脑损伤患者,按随机数字表法分为观察组和对照组,每组55例。对照组患者采用常规急诊护理路径,观察组患者采用一体化急诊护理路径。比较2组患者的急诊救治时间、住院时间、急性生理功能和慢性健康状况评分系统Ⅱ(APACHEⅡ)评分、并发症发生率以及病死率。结果观察组的急诊救治时间、住院时间均短于对照组(P均<0.05)。急救后,2组的APACHEⅡ评分均较同组急救前明显下降(P均<0.05),且观察组的APACHEⅡ评分低于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。观察组的治愈率高于对照组(P<0.05),病死率低于对照组(P<0.05)。结论一体化急诊护理路径可缩短重型颅脑损伤患者的急救时间和住院时间,提高其急救质量和预后效果。

Objective To compare the rescue effects and prognosis of different emergency nursing pathways for patients with severe craniocerebral injuries.Methods From September 2019 to September 2020,110 patients with severe craniocerebral injuries admitted to Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology were selected and divided into an observation group and a control group by a random number table,with 55 cases in each group.The control group adopted a routine emergency nursing pathway,and the observation group adopted an integrated emergency nursing pathway.The emergency treatment time,hospitalization time,acute physiology and chronic health evaluationⅡ(APACHEⅡ)scores,incidence of complications,and case fatality rate were compared between the two groups.Results The emergency treatment time and hospitalization time of the observation group were shorter than those of the control group(both P<0.05).After first aid,the APACHEⅡscores of the two groups were lower than those before first aid(both P<0.05),and the APACHEⅡscores of the observation group were lower than those of the control group(P<0.05).The overall incidence of complications in the observation group was lower than that in the control group(P<0.05).The cure rate of the observation group was higher than that of the control group(P<0.05),and the case fatality rate was lower than that of the control group(P<0.05).Conclusion Integrated emergency nursing pathway can shorten the emergency treatment time and hospitalization time of patients with severe craniocerebral injuries,and improve the quality of first aid and prognosis.