顾英　郭丽萍

【摘要】 目的：觀察临床护理路径在脑挫伤中的应用效果。方法：选取2014年1月-2016年12月笔者所在医院收治的脑挫伤患者120例作为研究对象，随机分为试验组和对照组，对照组患者给予常规护理，试验组患者给予临床护理路径，观察并对比两组患者的临床效果、日常生活能力评分、四肢功能评分、并发症发生率及患者满意度等，分析临床护理路径在脑挫伤中的应用价值，旨在提高脑挫伤患者的预后效果。结果：试验组患者护理后临床总有效率为96.7%，对照组患者护理后临床总有效率为80.0%，两组比较差异有统计学意义（P<0.05）；试验组患者日常生活能力评分和肢体功能评分明显高于对照组患者，差异均有统计学意义（P<0.05）；试验组患者并发症的发生率为5.0%，满意度为98.3%，对照组患者并发症的发生率为21.7%，满意度为83.3%，两组患者并发症发生率和满意度比较差异均有统计学意义（P<0.05）。结论：临床护理路径在脑挫伤中的应用效果显著，促进患者日常生活能力和四肢功能的恢复，提高患者的安全性和满意度，值得在脑挫伤的护理中推广应用。

【关键词】 临床护理路径； 脑挫伤； 临床疗效； 并发症

doi：10.14033/j.cnki.cfmr.2017.23.052 文献标识码 B 文章编号 1674-6805（2017）23-0102-03

Application Effect of Clinical Nursing Pathway in Brain Contusion/GU Ying，GUO Li-ping.//Chinese and Foreign Medical Research，2017，15（23）：102-104

【Abstract】 Objective：To observe the application effect of clinical nursing pathway in brain contusion，and to analyze the clinical application value of clinical nursing pathway.Method：From January 2014 to December 2016 in our hospital，120 cases with cerebral contusion were selected as the research object，they were randomly divided into the experimental group and the control group，60 patients in each group，the control group was given routine nursing，the experimental group was given clinical nursing path for patients，the clinical effect and the ability of daily life of two groups were compared and scored，limb function score，complication rate and patient satisfaction，the application effect of clinical nursing pathway in cerebral contusion were analyzed.Result：After nursing，the clinical total effective rate in the experimental group was 96.7%，the control group was 80.0%，there was significant difference（P<0.05）；ability of daily life score and limb function score of patients in the experimental group were significantly higher than those in the control group，the differences were statistically significant（P<0.05）；the incidence of complications in the experimental group was 5.0%，the satisfaction was 98.3%，the incidence of complications in the control group was 21.7%，satisfaction was 83.3%，the differences between the two groups of patients were statistically significant （P<0.05）.Conclusion：The application effect of clinical nursing pathway in cerebral contusion is significantly，can promote patients ability of daily life and limb function recovery，reduce the incidence of complications，improve patient satisfaction，has certain clinical application value.

【Key words】 Clinical nursing pathway； Brain contusion； Clinical efficacy； Complicationendprint

First-authors address：Meishan Hospital of Traditional Chinese Medicine，Meishan 620010，China

脑挫伤属于脑外科的常见疾病，最近几年其发生率有显著升高趋势，由于脑挫伤病情比较复杂，如果处理不当会危及患者的生命安全[1]。病情比较嚴重的脑挫伤患者会形成脑内血肿与脑水肿，颅内压急剧升高，从而降低脑灌注压，形成恶性循环[2]。脑挫伤由于病情恢复比较慢，在治疗期间需要采取有效的护理干预措施，根据相关资料报道，临床护理路径可提高脑挫伤的预后效果，本次研究为了验证这一理论，选取部分脑挫伤患者作为研究对象在治疗期间分别给予常规护理和临床护理路径，通过对比两组患者的护理效果分析临床护理路径的应用价值。

1 资料与方法

1.1 一般资料

选取2014年1月-2016年12月笔者所在医院收治的脑挫伤患者120例作为研究对象，随机分为试验组和对照组，每组60例患者。……