摘要
目的探讨手术室护理路径在急诊颅脑外伤手术患者中的应用效果。方法选取该院(2015年1月—2017年1月)收治的88例急诊颅脑外伤手术患者为研究对象,将本组患者根据不同护理方法分为两组,观察组44例患者给予手术室护理路径护理,对照组44例患者给予常规手术护理,对比两组患者手术相关指标和手术前后瞳孔评分以及手术前后重型与特重型颅脑损伤患者瞳孔评分。结果观察组患者手术准备时间(26.9±2.1)min明显短于对照组(37.6±5.6)min,差异有统计学意义(t=11.867 3,P<0.05);手术前,观察组与对照组的瞳孔评分分别为(3.96±0.52)分、(3.89±0.51)分;手术后,观察组与对照组的瞳孔评分分别为(4.26±0.75)分、(4.20±0.83)分;手术前后两组患者瞳孔评分对比差异无统计学意义(t=0.910 7、0.355 8,P>0.05)。手术后观察组重型颅脑损伤患者瞳孔评分(4.80±0.64)分明显高于对照组(4.50±0.74),差异有统计学意义(t=2.034 0,P<0.05)。在2周后,观察组死亡7例(15.91%),对照组死亡8例(18.18%),对比差异无统计学意义(χ~2=0.182 2,P>0.05)。结论手术室护理路径在急诊颅脑外伤手术患者中的应用效果显著,可有效减少术前准备时间,让患者及时接受手术治疗,赢得黄金治疗时间。
Objective To study the application effect of nursing path in the operating room in the patients with emer gency craniocerebral trauma operation. Methods 88 cases of patients with emergency craniocerebral trauma operation in our hospital from January 2015 to January 2017 were selected and divided into two groups aecording to different nursing methods, the observation group with 44 cases used the nursing path nursing in the operating room, while the control group with 44 cases used the routine surgical nursing, and the operative related indexes, papilla score before and after surgery and papilla score of patients with severe and critically severe craniocerebral trauma operation before and after surgery were compared between the two groups. Results The operation preparation time in the observation group was obviously shorter than that in the control group[（26.9±2.1）min vs （37.6±5.6）min], and the difference was sta- tistically significant （t=11.867 3, P〈0.05） ; the papilla score in the observation group and in the control group before surgery was respectively （3.96±0.52）points and （3.89±0.51）points, after surgery, the papilla score in the observation group and in the control group was respectively （4.26±0.75）points and （4.20±0.83）points, and the difference in the papilla score between the two groups before and after surgery was not obvious, without statistical significance, （t=0.910 7, 0.355 8, P〉0.05） , after surgery, the papilla score of patients with severe craniocerehral trauma in the observation group was obviously higher than that in the control group [（4.80±0.64）points vs （4.50±0.74）points], and the difference was statistically significant（t=2.034 0, P〈0.05） , after two weeks, there were 7 death cases （15.91%） in the observation group and 8 cases （18.18%） in the control group, and the difference was not obvious, without statistical significance （χ2=0.182 2, P〉0.05） . Conclusion The nursing path in the operating room has an obvious application effect in patientswith emergency craniocerebral trauma operation, which can effectively reduce the preoperative preparation time, and make patients accept the operative treatment in time and win the golden treatment time.
作者
刘继敏
LIU Ji-min(Supply Room,Heze Caoxian County Hospital,Caoxian,Shandong Province,274400 China)
出处
《系统医学》
2018年第18期166-168,共3页
Systems Medicine
关键词
手术室
护理路径
急诊
颅脑外伤
手术应用
Operating room
Nursing path
Emergency
Craniocerebral trauma
Application of surgetT
