综合护理干预对重症脑外伤术后昏迷患者压力性损伤发生率及预后的影响

汤必群

（安康市人民医院感控科，陕西 安康，725000）

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摘要：

目的 探讨综合护理干预对重症脑外伤术后昏迷患者压力性损伤发生率及预后的影响。方法 选择在我院进行脑外伤手术治疗的116例重症脑外伤患者，随机将其分为观察组与对照组，每组58 例。对照组患者术后采用常规护理，观察组患者加用综合护理干预，比较两组患者压力性损伤发生情况及预后情况。结果 观察组压力性损伤发生率为3.45%，明显低于对照 组的18.97%（P<0.05）。术后1个月，两组患者的GCS评分均显著升高，且观察组明显高于对照组，差异有统计学意义（P<0.05）。结论 重症脑外伤术后昏迷患者采用综合护理干预能够降低压力性损伤的发生率，改善预后，对术后康复有积极作用，值得临床广泛应用。

关键词：综合护理干预；重症脑外伤；昏迷；压力性损伤

中图分类号：R473.6 文献标志码：A文章编号：2096-1413(2017)19-0189-02

Effect of comprehensive nursing intervention on pressure damage and prognosis in severe brain trauma patients with postoperative coma
TANG Bi-qun
(Department of Infection Control, Ankang People``s Hospital, Ankang 725000, China)

ABSTRACT: Objective To investigate the effect of comprehensive nursing intervention on pressure damage and prognosis in severe brain trauma patients with postoperative coma. Methods A total of 116 severe brain trauma patients who treated with surgery in our hospital were selected as the research objects, all the patients were randomly divided into observation group and control group, with 58 cases in each group. The control group received routine nursing, and the observation group accepted comprehensive nursing. The incidence of pressure damage and prognosis of the two groups were compared. Results The incidence rate of pressure damage in the observation group was 3.45%, which was significantly lower than 18.97% of the control group (P<0.05). After operation for one month, the GCS scores of the two groups significantly increased, and those of the observation group were significantly higher than the control group (P<0.05). Conclusion Comprehensive nursing intervention for severe brain trauma patients with postoperative coma can reduce pressure damage, improve prognosis, promote postoperative recovery, which is worthy of wide clinical application.
KEYWORDS: comprehensive nursing intervention; severe brain trauma; coma; pressure damage

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