颅脑损伤行急诊开颅探查术患者的临床护理体会

张燕

（陕西黄陵县人民医院，陕西 延安，727300）

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摘要：

目的 比较常规护理与综合护理对开颅探查术治疗效果的影响。方法 选取我院2015年6月至2016年6月收治的46例颅脑损伤行急性开颅探查术患者，随机分为观察组与对照组，各23例。对照组给予常规护理，观察组患者给予综合护理干预。对比分析两组患者的治疗总有效率、并发症发生情况及护理满意度。结果 观察组的治疗总有效率为91.30%，优于对照组 的78.26%（P<0.05）；观察组的并发症总发生率为13.04%，显著小于对照组的34.78%（P<0.05）；观察组患者的护理满意度为 95.65%，高于对照组的73.91%（P<0.05）。结论 对开颅探查术患者实施综合护理干预，可有效提高治疗总有效率、护理满意度，减少并发症的发生，临床应用价值高，值得积极推行。而找准手术前、后的护理要点，加强对患者的检测观察，对于保障患者生命健康和加快患者身体恢复具有积极意义。

关键词：颅脑损伤；开颅探查术；综合护理

中图分类号：R472.3文献标志码：A文章编号：2096-1413(2017)25-0177-02

Clinical nursing experience in patients with craniocerebral injury taking emergency craniotomy
ZHANG Yan
(Huangling County People``s Hospital, Yan``an 727300, China)

ABSTRACT: Objective To compare the effect of routine nursing and comprehensive nursing in the treatment of craniotomy. Methods From June 2015 to June 2016, 46 cases of patients with craniocerebral injury taking emergency craniotomy in our hospital were enrolled and randomly divided into observation group and control group, with 23 cases in each group. The total control group accepted routine nursing, and the observation group was given comprehensive nursing method. The effective rate of treatment, occurrence of complications and nursing satisfaction in the two group were compared and analyzed. Results The treatment total effective rate of the observation group was 91.30%, which was significantly better than 78.26% of the control group (P<0.05); the total incidence rate of complications of the observation group was 13.04%, which was significantly lower than 34.78% of the control group (P<0.05); the satisfaction rate of patients in the observation group was 95.65%, which was significantly higher than 73.91% in the control group (P<0.05). Conclusion The comprehensive nursing in patients with craniocerebral injury taking emergency craniotomy can effectively improve the treatment efficiency and the satisfaction rate of patients, reduce the incidence of complications, which has high clinical application value and is worth promoting. It plays a positive role to promoting meaning to identify the care points before and after surgery, strengthen the detection of patients for protecting life and health and accelerating the disease recovery of patients.
KEYWORDS: craniocerebral injury; emergency craniotomy; comprehensive nursing

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