冰袋冷敷联合预见性护理对重度颅脑损伤患者术后的影响
|
摘要
目的探讨冰袋冷敷联合预见性护理对重度颅脑损伤患者颅内压及术后下肢深静脉血栓形成(DVT)发生率的影响。方法选取于本院行标准外伤大骨瓣开颅术治疗的重度颅脑损伤患者98例,建档顺序分组,各49例。对照组展开常规护理,观察组于常规护理基础上予以冰袋冷敷联合预见性护理,比较两组干预后下肢肿胀程度、护理满意度、干预前后颅内压水平及术后30d、45d下肢DVT发生率。结果经干预,观察组下肢肿胀程度低于对照组,差异有统计学意义(P <0.05);观察组护理满意度高于对照组,差异有统计学意义(P <0.05);干预前两组颅内压水平相比,无显著差异(P> 0.05),干预后观察组颅内压水平低于对照组,差异有统计学意义(P <0.05);观察组术后30d、45d下肢DVT发生率均低于对照组,差异有统计学意义(P <0.05)。结论对行标准外伤大骨瓣开颅术治疗的重度颅脑损伤患者予以冰袋冷敷联合预见性护理可明显缓解患者下肢肿胀情况,降低患者颅内压及术后下肢DVT发生率,提高其护理满意度。
Objective To investigate the effects of ice pack cold compress combined with predictive nursing on intracranial pressure and postoperative deep venous thrombosis(DVT) in patients with severe craniocerebral injury. Methods Ninety-eight patients with severe craniocerebral injury treated with standard traumatic large craniotomy were enrolled in our hospital. The patients were divided into two groups according to the order of the files, with 49 cases in each group. The control group underwent routine nursing. The observation group was given ice pack cold compress combined with predictive nursing on the basis of routine nursing. The degree of swelling of the lower limbs, nursing satisfaction, intracranial pressure before and after intervention, and rate of DVT of lower extremity 30 and 45 days after operation were compared. Results After intervention,the degree of swelling in the lower limbs of the observation group was lower than that of the control group(P < 0.05). The nursing satisfaction of the observation group was higher than that of the control group, the difference was statistically significant(P < 0.05). There was no significant difference in intracranial pressure before intervention(P > 0.05). After intervention, the intracranial pressure level of the observation group was lower than that of the control group, the difference was statistically significant(P < 0.05). The incidence of DVT of lower extremity 30 days and 45 days after operation were lower than the control group, and the difference was statistically significant(P < 0.05). Conclusion The ice pack cold compress combined with predictive nursing for patients with severe craniocerebral injury treated with standard traumatic large craniotomy can significantly relieve the swelling of lower extremity, reduce the intracranial pressure and the incidence of postoperative lower extremity DVT, and improve their nursing satisfaction. degree.
Objective To investigate the effects of ice pack cold compress combined with predictive nursing on intracranial pressure and postoperative deep venous thrombosis(DVT) in patients with severe craniocerebral injury. Methods Ninety-eight patients with severe craniocerebral injury treated with standard traumatic large craniotomy were enrolled in our hospital. The patients were divided into two groups according to the order of the files, with 49 cases in each group. The control group underwent routine nursing. The observation group was given ice pack cold compress combined with predictive nursing on the basis of routine nursing. The degree of swelling of the lower limbs, nursing satisfaction, intracranial pressure before and after intervention, and rate of DVT of lower extremity 30 and 45 days after operation were compared. Results After intervention,the degree of swelling in the lower limbs of the observation group was lower than that of the control group(P < 0.05). The nursing satisfaction of the observation group was higher than that of the control group, the difference was statistically significant(P < 0.05). There was no significant difference in intracranial pressure before intervention(P > 0.05). After intervention, the intracranial pressure level of the observation group was lower than that of the control group, the difference was statistically significant(P < 0.05). The incidence of DVT of lower extremity 30 days and 45 days after operation were lower than the control group, and the difference was statistically significant(P < 0.05). Conclusion The ice pack cold compress combined with predictive nursing for patients with severe craniocerebral injury treated with standard traumatic large craniotomy can significantly relieve the swelling of lower extremity, reduce the intracranial pressure and the incidence of postoperative lower extremity DVT, and improve their nursing satisfaction. degree.
引文
[1]田先,田会娟.预见性护理联合优质护理在重型颅脑损伤中应用的效果观察[J].安徽医药,2014,18(8):1600-1602.
[2]陈孝平,汪建平.外科学[M].第8版.北京:人民卫生出版社,2013:196-201.
[3]林葆春,张富明,罗玉娟,等.预见性护理干预在预防重症颅脑损伤患者继发下肢深静脉血栓形成中的应用[J].临床医学工程,2016,23(7):983-984.
[4]包贇,邱炳辉,曾浩,等.重型颅脑损伤去骨瓣减压术后颅内压升高的亚低温治疗[J].中国临床神经外科杂志,2016,16(11):657-660.
[5]张卫华.冰袋冷敷联合压疮干预对重度颅脑损伤88例术后颅内压及压力性损伤发生率的影响[J].中国民康医学,2017,29(18):127-128.
[6]崔梅,夏虹.预见性护理干预在预防重症颅脑损伤患者继发下肢深静脉血栓形成中的应用[J].齐鲁护理杂志,2013,19(18):84-85.
[2]陈孝平,汪建平.外科学[M].第8版.北京:人民卫生出版社,2013:196-201.
[3]林葆春,张富明,罗玉娟,等.预见性护理干预在预防重症颅脑损伤患者继发下肢深静脉血栓形成中的应用[J].临床医学工程,2016,23(7):983-984.
[4]包贇,邱炳辉,曾浩,等.重型颅脑损伤去骨瓣减压术后颅内压升高的亚低温治疗[J].中国临床神经外科杂志,2016,16(11):657-660.
[5]张卫华.冰袋冷敷联合压疮干预对重度颅脑损伤88例术后颅内压及压力性损伤发生率的影响[J].中国民康医学,2017,29(18):127-128.
[6]崔梅,夏虹.预见性护理干预在预防重症颅脑损伤患者继发下肢深静脉血栓形成中的应用[J].齐鲁护理杂志,2013,19(18):84-85.