陈艳玲

[摘要] 目的 分析重症监护护理在ICU急性脑卒中护理过程中起到的作用，为后续的临床护理路径选择提供参考与借鉴。方法 研究对象方便选择2018年1月—2019年1月期间内该院ICU所收治的90例急性脑卒中患者，按照纳入和排除标准将患者划分为观察组和对照组，每组45例。对照组采取神经内科常规护理模式展开护理，观察组则重点展开重症监护护理。在护理结束后比较两组患者的日常生活指标恢复情况分析护理过程起到的效果。结果 该次研究结果显示，观察组患者在Barthel指数评分（67.20±6.61）分优于对照组（58.78±6.53）分;压疮比例（2.2%）低于对照组（11.1%）;观察组整体住院时间（10.44±1.02）d短于对照组（17.00±1.41）d，各项数据对比差异有统计学意义（t=3.325，χ2=5.440，t=3.518，P<0.05）。结论 重症监护护理在ICU急性脑卒中护理中的应用可以有效地改善患者的认知功能，保障患者的日常生活能力，缩短整体住院时间。

[关键词] 重症监护护理;ICU;急性脑卒中;护理

[Abstract] Objective To analyze the role of intensive care in the nursing process of acute stroke in ICU， and to provide reference and reference for the subsequent selection of clinical nursing pathways. Methods The study subjects convenient selected 90 patients with acute stroke admitted to the hospital between January 2018 and January 2019. The patients were divided into observation group and control group according to the inclusion and exclusion criteria， with 45 cases in each group. The control group underwent routine nursing care in neurology， and the observation group focused on intensive care. After the end of the nursing， the daily life index recovery of the two groups of patients was compared to analyze the effect of the nursing process. Results The results of this study showed that the Barthel index score of the observation group （67.20±6.61）points was better than that of the control group （58.78±6.53）points; the proportion of pressure ulcers （2.2%） was lower than the control group （11.1）%; （10.44±1.02）d was shorter than the control group （17.00±1.41）d. There was statistically significant difference in the comparison of the data （t=3.325， χ2=5.440， t=3.518， P<0.05）. Conclusion The application of intensive care in ICU acute stroke care can effectively improve patients cognitive function， protect patients' daily life ability， shorten overall hospital stay， and can be promoted.

[Key words] Intensive care; ICU; Acute stroke; Nursing

腦卒中是神经系统中的常见疾病、多发疾病，主要原因是因为各种诱发因素所导致的脑内动脉狭窄、脑部血液供应障碍等障碍性疾病。患者情况较为危急，通常需要在ICU中接受治疗和护理工作。重症监护护理实现了护理实践过程的优化，以护理程序的执行和落实作为循环的基本要求，强调的是多学科和高质量团队之间的配合，明确不同期间内对患者应该采取的护理措施，同时促进患者更快地恢复。方便选择2018年1月—2019年1月期间内该院ICU所收治的90例急性脑卒中患者展开研究，现报道如下。

1  资料与方法

1.1  一般资料

研究对象方便选择该院ICU所收治的90例急性脑卒中患者，按照纳入和排除标准将患者划分为观察组和对照组，每组45例。……