手术护理路径对重症颅脑损伤者急诊微创穿刺手术配合效率的影响
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摘要
目的探讨在重度颅脑损伤急诊微创穿刺手术中应用手术护理路径的临床效果。方法将本院行急诊微创穿刺手术的重度颅脑损伤患者102例患者根据干预方式不同分对照组、观察组,各51例。对照组患者行常规护理干预,观察组在常规护理基础上实施手术护理路径。比较2组抢救时间、抢救效果、瞳孔评分情况。结果观察组手术准备时间、术前检查时间、手术持续时间均短于对照组(P<0.05)。观察组抢救成功率高于对照组,但差异无统计学意义(P>0.05)。观察组术后瞳孔评分高于对照组(P<0.05)。结论重度颅脑损伤急诊手术配合应用手术护理路径能提高急诊微创穿刺手术的抢救效率,赢得黄金救治时间。
Objective To investigate the clinical effect of surgical nursing pathway in emergency minimally invasive puncture surgery for severe craniocerebral injury.Methods A total of 102 patients with severe craniocerebral injury who underwent emergency minimally invasive surgery in our hospital were enrolled in this study.All the patients were divided into control group and observation group according to different intervention methods,with 51 cases in each group.The patients in the control group underwent routine nursing intervention,and those in the observation group were given surgical care pathway based on routine care.The rescue time,rescue effect and pupil score were compared between the two groups.Results The operation preparation time,preoperative examination time and operation duration of the observation group were shorter than that of the control group(P<0.05).The success rate of rescue in the observation group was higher than that in the control group,but no statistical significant difference was observed(P>0.05).The pupil score of the observation group was higher than that of the control group(P<0.05).Conclusion The emergency operation of severe craniocerebral injury combined with surgical nursing pathway can improve the rescue efficiency of emergency minimally invasive puncture surgery,and gain gold treatment time.
Objective To investigate the clinical effect of surgical nursing pathway in emergency minimally invasive puncture surgery for severe craniocerebral injury.Methods A total of 102 patients with severe craniocerebral injury who underwent emergency minimally invasive surgery in our hospital were enrolled in this study.All the patients were divided into control group and observation group according to different intervention methods,with 51 cases in each group.The patients in the control group underwent routine nursing intervention,and those in the observation group were given surgical care pathway based on routine care.The rescue time,rescue effect and pupil score were compared between the two groups.Results The operation preparation time,preoperative examination time and operation duration of the observation group were shorter than that of the control group(P<0.05).The success rate of rescue in the observation group was higher than that in the control group,but no statistical significant difference was observed(P>0.05).The pupil score of the observation group was higher than that of the control group(P<0.05).Conclusion The emergency operation of severe craniocerebral injury combined with surgical nursing pathway can improve the rescue efficiency of emergency minimally invasive puncture surgery,and gain gold treatment time.
引文
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[11]孙向峰,侯梅,苑爱云,等.丰富环境对缺氧缺血性脑损伤新生大鼠学习记忆、海马区脑源性神经生长因子和突触素蛋白表达的影响[J].中华实用儿科临床杂志,2017,32(4):296-299.
[12]孙翠,王栋梅,马吉芬,等.系统护理模式对改善微创手术脑出血患者神经功能及减少并发症的意义[J].现代中西医结合杂志,2017,26(34):3872-3874.
[13]张春妮,赵飞丽.模块式复康计划对高血压脑出血患者术后神经功能康复的作用[J].中国实用神经疾病杂志,2016,19(10):131-132.
[14]杨春.手术室护理路径在重型颅脑损伤治疗中的临床价值研究[J].世界最新医学信息文摘,2017,17(46):13-14.
[2]王先美,郭永洪.高血压脑出血血肿引流术患者收缩压变异性增大的影响因素[J].贵州医科大学学报,2016,41(12):1482-1484,1488.
[3]Kuncewitch M,Yang W L,Jacob A,et al.Stimulation of Wnt/beta-carenin signaling pathway with Wnt agonist reduces organ injury after hemorrhagic shock[J].J Trauma Acute Care Surg,2015,78(4):793-900.
[4]张秋敏,关景霞,王娟,等.延续护理对高血压脑出血手术后康复期患者的康复效果[J].心血管康复医学杂志,2017,26(5):554-557.
[5]贾丽芳.急诊护理路径在颅脑损伤患者急救中应用的临床价值分析[J].中西医结合心血管病电子杂志,2016,4(36):104-105.
[6]李延萍,景蓉,李水清,等.早期肢体康复训练对高血压脑出血偏瘫患者神经功能恢复的影响[J].中西医结合心脑血管病杂志,2015,13(6):844-846.
[7]刘继敏.手术室护理路径在急诊颅脑外伤手术患者中的应用[J].系统医学,2018,3(18):166-168.
[8]陈旭伟,张剑民.患者亲属的健康教育对高血压脑出血院前抢救的影响[J].中国基层医药,2016,23(22):3512-3515.
[9]李小卉.延续性护理对高血压脑出血手术患者术后再出血率的影响[J].实用临床医药杂志,2016,20(14):4-6,10.
[10]王冠,郑姣琳.前瞻性护理干预在高血压脑出血偏瘫病人早期护理中的应用[J].护理研究,2017,31(2):223-225.
[11]孙向峰,侯梅,苑爱云,等.丰富环境对缺氧缺血性脑损伤新生大鼠学习记忆、海马区脑源性神经生长因子和突触素蛋白表达的影响[J].中华实用儿科临床杂志,2017,32(4):296-299.
[12]孙翠,王栋梅,马吉芬,等.系统护理模式对改善微创手术脑出血患者神经功能及减少并发症的意义[J].现代中西医结合杂志,2017,26(34):3872-3874.
[13]张春妮,赵飞丽.模块式复康计划对高血压脑出血患者术后神经功能康复的作用[J].中国实用神经疾病杂志,2016,19(10):131-132.
[14]杨春.手术室护理路径在重型颅脑损伤治疗中的临床价值研究[J].世界最新医学信息文摘,2017,17(46):13-14.