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目的探讨脑肿瘤患者突发意识障碍的急救护理方法及效果。方法选取2014年1月至2015年10月重庆市开县人民医院收治的40例脑肿瘤并突发意识障碍的患者,其中25例患者采用优化急救护理流程(观察组),15例患者采用常规急救护理(对照组),比较两组患者的急救效率和急救效果。结果观察组患者的分诊评估时间、建立静脉通道时间、静脉用药时间和抢救时间均短于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者住院时间短于对照组患者,出院时的美国国立卫生研究院脑卒中量表(NIHSS)评分低于对照组患者,改良Barthel(MBI)指数评分高于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者的分诊正确率高于对照组患者,死亡率低于对照组患者,差异均无统计学意义(均P>0.05)。结论优化急救护理流程能够提高脑肿瘤突发意识障碍患者的抢救效率,改善患者的抢救效果,降低死亡率。
Objective To investigate the emergency nursing method and its effect in patients with brain tumor with sudden disturbance of consciousness. Methods From January 2014 to October 2015, 40 patients with brain tumor and sudden disturbance of consciousness who were treated in Kaixian People’s Hospital of Chongqing were enrolled. Among them, 25 patients were treated by optimized emergency nursing procedure (observation group) and 15 patients were treated by conventional first aid Nursing (control group), the first-aid efficiency and first-aid effect of two groups were compared. Results The triage assessment time, establishment of venous access time, intravenous administration time and rescue time in observation group were shorter than those in control group (all P <0.05). Patients in the observation group had shorter hospital stay, and NIHSS at discharge was lower than those in the control group. The score of Modified Barthel (MBI) was higher than that of the control group, with statistical differences Significance (both P <0.05). The correct rate of triage in the observation group was higher than that in the control group, and the mortality rate was lower than that in the control group. There was no significant difference (all P> 0.05). Conclusion Optimizing the emergency nursing process can improve the salvage efficiency, improve the salvage effect and reduce the mortality rate in patients with sudden brain disorders.