彭辉惠

[摘要] 目的 探讨综合护理干预对重症颅脑损伤患者临床效果及昏迷程度的影响。 方法 选择2013年11月～2015年4月于我院进行住院治疗的94例重症颅脑损伤患者作为研究对象，随机分为综合干预组与常规干预组，各47例。对比分析两组患者干预前后的NIHSS评分、BI评分及GCS评分。 结果 两组患者干预后的NIHSS评分较干预前明显下降（P<0.05）；综合干预组患者干预后的NIHSS评分低于常规干预组（P<0.05）；两组患者干预后的BI评分较干预前明显增加（P<0.05）；综合干预组患者干预后的BI评分高于常规干预组（P<0.05）；两组患者干预后 GCS评分较干预前明显下降（P<0.05）；综合干预组患者干预后的GCS评分低于常规干预组（P<0.05）。 结论 综合护理干预对重症颅脑损伤患者临床效果显著，且能够明显改善患者昏迷状态。

[关键词] 综合护理干预；重症颅脑损伤；效果；昏迷程度

[中图分类号] R651.1 [文献标识码] A [文章编号] 1674-4721（2016）02（c）-0167-03

[Abstract] Objective To explore the clinical effects of comprehensive nursing intervention in severe craniocerebral injury patients and its impact on degree of coma. Methods 94 severe craniocerebral injury patients from November 2013 to April 2015 of our hospital were selected as study object.Patients were randomly divided into comprehensive intervention group and routine intervention group and each group was 47 cases.NIHSS score，BI score and GCS score before and after intervention in two groups were compared. Results After intervention，the NIHSS score in two groups were decreased obvious compared with before intervention （P<0.05）.After intervention，the NIHSS score in comprehensive intervention group was lower than that of routine intervention group （P<0.05）.After intervention，the BI score in two groups were increased obvious compared with before intervention （P<0.05）.After intervention，the NIHSS score in comprehensive intervention group was higher than that of routine intervention group （P<0.05）.After intervention，the GCS score in two groups were decreased obvious compared with before intervention （P<0.05）.After intervention，the GCS score in comprehensive intervention group was lower than that of routine intervention group （P<0.05）. Conclusion Comprehensive nursing intervention in severe craniocerebral injury patients has obvious clinical effects and can improve the coma degree of patients obvious.

[Key words] Comprehensive nursing intervention；Severe craniocerebral injury；Effects；Coma degree

颅脑损伤是常见的一种外科损伤疾病，重症颅脑损伤主要是因脑组织直接遭受严重的损伤以及再灌注损伤、各种炎性递质、缺血缺氧、颅内高压等多重因素的伤害，从而致使脑细胞出现严重的水肿[1-2]。该病具有病情重、进展快、预后差等特点，且该病随着交通事故的不断增多，其发病率也在逐步上升[3]。该病常伴较为严重的神经功能损伤，进行治疗后一般也会对患者神经功能造成一定的影响[4-5]，因此，对重症颅脑损伤患者进行相关的综合护理干预措施尤为重要[6]。本文研究旨在分析综合护理干预对重症颅脑损伤患者临床效果及昏迷程度的影响，现如下报道。

1 资料与方法

1.1 一般资料

选择2013年11月～2015年4月于我院进行住院治疗的94例重症颅脑损伤患者作为研究对象，均通过头颅CT等检查证实，并且患者于伤后12 h内入院，格拉斯哥昏迷评分（GCS评分）≤8分。随机分为综合干预组与常规干预组，各47例。综合干预组患者中男性29例，女性18例；年龄24～65岁，平均（38.92±7.82）岁；致伤原因：坠落伤7例，钝器伤9例，交通事故31例；……