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目的:研究护理措施在改善开颅手术后颅内压增高患者治疗与预后效果中的价值。方法:选取2012年6月到2015年6月间于我院接受开颅手术治疗的100例颅脑创伤患者,随机分为两组,每组各50例,在对症支持治疗的基础上,对照组实施常规护理,观察组针对颅内压增高症状采取全面的护理措施。分别测量护理前后两组的颅内压变化,应用GOS评分对其预后效果进行评价。结果:护理前,两组患者的颅内压无显著差异,P>0.05;护理后,患者的颅内压均降低,但观察组的降低幅度大于对照组,差异显著,P<0.05,具有统计学意义;观察组的预后优良率为68.0%,高于对照组(36.0%),差异显著,P<0.05,具有统计学意义。结论:颅内压增高是开颅手术后的常见症状,对患者实施精心的降压护理措施,可以颅内压恢复,改善治疗与预后效果,提高患者的生存质量。
Objective: To study the value of nursing measures in improving the treatment and prognosis of patients with intracranial hypertension after craniotomy. Methods: One hundred patients with craniocerebral trauma undergoing craniotomy in our hospital from June 2012 to June 2015 were randomly divided into two groups (n = 50 each). On the basis of symptomatic and supportive treatment, Group implementation of routine care, observation group for increased intracranial pressure symptoms to take full care measures. The changes of intracranial pressure in the two groups before and after the nursing were respectively measured. The GOS score was used to evaluate the prognosis. Results: Before treatment, there was no significant difference in intracranial pressure between the two groups (P> 0.05). After nursing, the intracranial pressure of the patients decreased, but the decrease of the observation group was greater than that of the control group (P <0.05) Significance of the study; The excellent and good rate of observation group was 68.0%, higher than the control group (36.0%), the difference was significant, P <0.05, with statistical significance. Conclusions: Increased intracranial pressure is a common symptom after craniotomy. Careful antihypertensive treatment can be implemented in patients with recanalization of intracranial pressure to improve treatment and prognosis and improve the quality of life of patients.