急性完全性颈髓损伤患者循环系统异常的观察与护理(1)
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[摘要] 目的 探讨急性完全性颈髓损伤患者循环系统的异常变化，提出有效的护理对策。 方法 选取本院2006年1月～2011年6月收治的急性完全性颈髓损伤患者102例，将其随机分为两组，采用常规治疗和常规护理的患者为对照组(51例)，在对照组治疗基础上采用综合护理干预的患者为观察组(51例)，分析比较两组患者的各项指标。 结果 观察组ST段下移、T波低平、U波时限延长、QRS波时限延长、Q-T间期时限延长人数少于对照组，但差异无统计学意义；观察组ECG异常率明显低于对照组，观察组血压和心率异常率明显低于对照组，颈4以下患者血压和心率明显高于颈4以上患者，观察组并发症明显少于对照组，观察组患者满意度明显高于对照组，差异有统计学意义(P < 0.05)。 结论 急性完全性颈髓损伤患者循环系统有明显的异常变化，损伤平面越高，循环系统功能越不稳定。采用综合护理配合治疗，可以大幅提高患者的抢救成功率，是一种安全、有效的护理方法，值得临床推广使用。
[关键词] 急性完全性颈髓损伤；循环系统；护理
[中图分类号] R683.2 [文献标识码] C [文章编号] 1673-7210(2012)04(a)-0164-03
The observation and nursing of acute cervical spinal cord injury patients with circulatory abnormalities
CHEN Yu'e QU Bo YU Lijun XIN Hainan
Orthopaedics Ward, General Hospital of PLA, Beijing 100853, China
[Abstract] Objective To investigate circulatory abnormalities in acute cervical spinal cord injury patients and put forward effective nursing countermeasure. Methods 102 patients of acute complete cervical spinal cord injury were selected in the hospital from January 2006 to June 2011, who were randomly divided into two groups. 51 patients who were given conventional treatment and routine nursing care were taken as the control group. 51 patients who were given comprehensive nursing intervention on the basis of the treatment in the control group were taken as the observation group. Each index of two groups were compared and analyzed. Results ST segment depression, T wave, U wave duration, low prolonged QRS duration, prolong the time of Q-T interval number in the observation group were less than the control group, but the difference was not significant. The abnormal rate of ECG in the observation group was significantly lower than the control group. The abnormal rates of blood pressure and heart rate in the observation group were significantly lower than the control group. The blood pressure and heart rate in the neck below 4 group were significantly higher than the neck above 4 group. Complication in the observation group was less than the control group ......
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