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目的探讨优质护理模式在颅脑损伤患者接受超早期去骨瓣减压术患者的临床护理效果。方法选择2011年2月~2014年2月于宝鸡市人民医院神经外科进行治疗的颅脑损伤患者78例作为试验组,回顾性选取2010年之前颅脑损伤患者78例作为对照组,患者均进行超早期去颅骨修补术进行治疗,对照组患者接受普通常规护理模式,而试验组接受优质护理模式,观察期结束后,对2组患者进行格拉斯哥预后评分(GCS)以及2组患者并发症的发生率进行比较。结果接受优质护理模式的试验组患者GCS评分为(13.01±0.98)分,明显高于对照组的(9.99±1.01)分;试验组不良并发症的发生率为2.56%,明显低于对照组的20.51%,差异有统计学意义(P<0.05)。结论对接受超早期去骨瓣减压术后颅骨缺损患者实施优质护理可以有助于患者的神经和意识恢复,并可以较好抑制术后并发症的发生,可以适当临床推广。
Objective To explore the clinical nursing effect of high-quality nursing in patients with craniocerebral injury undergoing ultra-early decompressive craniectomy. Methods Seventy-eight patients with craniocerebral injury who were treated in Department of Neurosurgery, Baoji People’s Hospital from February 2011 to February 2014 were selected as the experimental group. 78 patients with craniocerebral injury before 2010 were selected as the control group, and the patients were treated Ultra-early cranioplasty was performed, while patients in the control group underwent routine care, while patients in the trial group received high-quality care. After the observation period, Glasgow Outcomes Score (GCS) and complication occurred in both groups Rate for comparison. Results The GCS score was (13.01 ± 0.98) points in the experimental group receiving the high-quality nursing model, which was significantly higher than that of the control group (9.99 ± 1.01). The incidence of adverse complications in the experimental group was 2.56%, which was significantly lower than that of the control group 20.51%, the difference was statistically significant (P <0.05). Conclusions The implementation of high-quality nursing care for patients with skull defects after ultra-early decompressive craniectomy can help to restore the nerve and consciousness of the patients and can better inhibit the occurrence of postoperative complications and can be properly applied clinically.