摘要
目的:探讨基于ICNSS评分系统的分层管理对ICU脑外伤患者的影响。方法:选取2013年1月~2015年3月54例ICU脑外伤患者为对照组,给予常规管理;选取2015年4月~2017年6月54例ICU脑外伤患者为观察组,实施基于ICNSS评分系统的分层管理。比较两组临床效果。结果:两组并发症发生率、护理质量评分及美国国立卫生研究院卒中量表(NIHSS)、格拉斯哥昏迷评分(GCS)、Fugl-Meyer运动功能评定量表评分、Barthel指数评分比较差异均有统计学意义(P<0.05)。结论:基于ICNSS评分系统的分层管理可降低ICU脑外伤患者并发症发生率,提高护理质量,改善患者预后。
Objective: To explore the effect of hierarchical management based on ICNSS scoring system on brain trauma patients in ICU.Methods: A total of 54 ICU patients with traumatic brain injury were selected as control group and given routine management from January2013 to March 2015. A total of 54 ICU patients with traumatic brain injury from April 2015 to June 2017 were selected as the observation group,and the hierarchical management based on ICNSS scoring system was implemented. And then compare the clinical effects of the two groups. Results: The two groups of complications,nursing quality score,the National Institutes of Health Stroke Scale(NIHSS),the gatago coma score(GCS),the Fugl-Meyer exercise function assessment scale and the Barthel index score were statistically significant(P < 0. 05).Conclusion: Hierarchical management based on ICNSS scoring system can reduce the incidence of complications,improve the quality of care and the prognosis of patients with brain trauma in ICU.
引文
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