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手术室护理路径在急诊颅脑外伤手术患者中的应用

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目的 探讨在急诊颅脑外伤手术患者中应用手术室护理路径的效果.方法 选择2020年1月—2023年5月本院急诊手术治疗的颅脑外伤患者80例为研究对象,根据随机分组法分成对照组和观察组,每组40例.其中,对照组采用常规手术室护理,观察组采用手术室护理路径,对比两组患者手术指标、瞳孔评分,并记录患者的并发症发生状况.结果 观察组手术准备时间显著较对照组更短(P<0.05);手术持续时间与对照组对比,差异无统计学意义(P>0.05).相比术前,术后两组患者的瞳孔评分均存在一定程度升高,但与术前比无显著差异(P>0.05);且术前、术后观察组与对照组的瞳孔评分对比无意义(P>0.05).两组重型颅脑外伤患者与特重型颅脑外伤患者的术前瞳孔评分对比无意义(P>0.05);观察组术后重型颅脑外伤患者瞳孔评分较对照组的高(P<0.05),而观察组特重型患者瞳孔评分与对照组比则无显著差异(P>0.05).观察组并发症率显著低于对照组(P<0.05).结论 在急诊颅脑外伤手术患者中应用手术室护理路径,可缩短患者手术准备时间,尽早让患者得到手术治疗,降低患者并发症风险,以利于患者病情的康复.
Application of Operating Room Nursing Pathway for Patients with Emergency Cranial Trauma Surgery
Objective To explore the effect of operating room nursing pathway for patients with emergency traumatic brain surgery. Methods The paper chose 80 patients with traumatic brain injury with emergency surgical treatment in the hospital from January 2020 to May 2023,and randomly divided them into the control group (n=40) treated with routine operating room nursing,and the observation group (n=40) with operating room nursing pathway. Surgical indicators were observed,pupil scores were evaluated,and incidence of complications was recorded. Results The preparation time for surgery in the observation group was significantly shorter than the control group (P<0.05). Surgery duration showed no significant difference compared with the control group (P>0.05). There was some certain degree increase of pupil scores in two groups after surgery compared with before,but there was no significant difference compared with before surgery (P>0.05). The comparison of pupil scores between the preoperative and postoperative observation group and the control group was not significant (P>0.05). There was no significant difference in preoperative pupil scores between two groups with severe traumatic brain injury and those with extremely severe traumatic brain injury (P>0.05). The pupil scores of the observation group with severe traumatic brain injury after surgery were higher than the control group (P<0.05),there was no significant difference in pupil scores between the observation group with severe traumatic brain injury and the control group (P>0.05). Incidence of complications in the observation group was significantly lower than the control group (P<0.05). Conclusion The operating room nursing pathway can shorten preparation time for surgery,provide early surgical treatment,reduce incidence of complications,and facilitate condition recovery of patients with emergency traumatic brain surgery.

Traumatic brain injuryEmergency surgerySurgical room nursing pathwayPupil scores

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盐城市第一人民医院麻醉科,江苏 盐城 224006

颅脑外伤 急诊手术 手术室护理路径 瞳孔评分

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(27)