颅脑外伤合并复合伤护理的风险事件评估及对策(1)
【摘要】 目的：探讨颅脑外伤合并复合伤患者临床治疗中风险事件的护理措施。方法：将78例颅脑外伤合并复合伤患者分为研究组和对照组，每组各39例。对颅脑外伤合并复合伤患者的临床护理风险进行评估，研究组根据评估结果制定综合护理措施，对照组给予常规护理。结果：护理前两组患者的HAMD评分、ADL评分比较差异无统计学意义(P>0.05)；护理后研究组ADL评分明显高于对照组，HAMD评分明显低于对照组，两组比较差异均有统计学意义(P<0.05)。研究组临床治疗过程中的风险事件发生率为15.4%，明显低于对照组的38.4%；研究组对本院护理工作的满意度为92.3%，明显高于对照组的74.4%，两组比较差异均有统计学意义(P<0.05)。结论：对颅脑外伤合并复合伤患者实施综合护理，可有效降低临床风险事件发生率，改善患者临床治疗效果。
【关键词】 颅脑外伤； 复合伤； 护理； 风险事件
Risk Assessment and Countermeasures of Craniocerebral Injury Combined with Compound Wound Care/WU Su-wen.//Medical Innovation of China，2015，12(16)：114-117
, http://www.100md.com
【Abstract】 Objective：To explore the nursing measures of craniocerebral injury combined with risk accidents in clinical treatment of patients with compound injury.Method：78 patients of traumatic brain injury with complex trauma were selected and divided into the study group and the control group，39 cases in each group.The risk of traumatic brain injury with clinical care of patients with complex injuries were assessed，the study group was given a comprehensive care measures based on the assessment results，the control group was given routine care.Result：Before nursing，two groups of patients with HAMD score and ADL score had no significant difference(P>0.05).After nursing，study group’s ADL scores were significantly higher than those of control group，HAMD score was significantly lower than that of the control group，the differences were statistically significant(P<0.05).The study group clinical treatment of risk in the process of the accident rate was 15.4%，significantly lower than the control group of 38.4%，the satisfaction of nursing in study group was 92.3%，significantly higher than the control group of 74.4%，the differences were statistically significant(P<0.05).Conclusion：The comprehensive nursing of craniocerebral injury combined with multiple trauma patients，can effectively reduce the incidence rate of clinical risk accidents，improve the clinical treatment effect.
, 百拇医药
【Key words】 Craniocerebral injury； Compound injury； Nursing； Risk accident
First-author’s address：The People’s Hospital of Guangning，Guangning 526300，China
doi：10.3969/j.issn.1674-4985.2015.16.042
颅脑外伤合并复合伤是临床神经外科常见疾病，具有病情凶险、病死率高等特点[1]。为进一步改善颅脑外伤合并复合伤患者的临床治疗效果，降低颅脑外伤合并复合伤患者的死亡率，本院对颅脑外伤合并复合伤患者临床治疗中风险事件的护理方法进行了研究，并取得了令人满意的临床护理效果，现将本院研究所得结果报道如下。
1 资料与方法
1.1 一般资料 选取2013年1月-2015年1月本院脑科中心收治的78例颅脑外伤合并复合伤患者作为研究对象，42例车祸伤，18例高空坠落摔伤，13例重物砸伤，5例爆炸伤。其中包括重度颅脑外伤35例，中度颅脑外伤24例，轻度颅脑损伤19例。复合伤包括多发性肋骨骨折、四肢骨折、血气胸56例，肾挫伤血尿、后腹膜血肿13例，肝破裂和肠穿孔9例。采用随机数字表法将患者分为研究组和对照组，每组各39例。研究组男24例，女15例，年龄12～71岁，平均(43.3±1.6)岁。对照组男23例，女16例，年龄15～68岁，平均(42.1±1.4)岁。两组患者在病情、性别、年龄等一般资料比较差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(吴素文)
【关键词】 颅脑外伤； 复合伤； 护理； 风险事件
Risk Assessment and Countermeasures of Craniocerebral Injury Combined with Compound Wound Care/WU Su-wen.//Medical Innovation of China，2015，12(16)：114-117
, http://www.100md.com
【Abstract】 Objective：To explore the nursing measures of craniocerebral injury combined with risk accidents in clinical treatment of patients with compound injury.Method：78 patients of traumatic brain injury with complex trauma were selected and divided into the study group and the control group，39 cases in each group.The risk of traumatic brain injury with clinical care of patients with complex injuries were assessed，the study group was given a comprehensive care measures based on the assessment results，the control group was given routine care.Result：Before nursing，two groups of patients with HAMD score and ADL score had no significant difference(P>0.05).After nursing，study group’s ADL scores were significantly higher than those of control group，HAMD score was significantly lower than that of the control group，the differences were statistically significant(P<0.05).The study group clinical treatment of risk in the process of the accident rate was 15.4%，significantly lower than the control group of 38.4%，the satisfaction of nursing in study group was 92.3%，significantly higher than the control group of 74.4%，the differences were statistically significant(P<0.05).Conclusion：The comprehensive nursing of craniocerebral injury combined with multiple trauma patients，can effectively reduce the incidence rate of clinical risk accidents，improve the clinical treatment effect.
, 百拇医药
【Key words】 Craniocerebral injury； Compound injury； Nursing； Risk accident
First-author’s address：The People’s Hospital of Guangning，Guangning 526300，China
doi：10.3969/j.issn.1674-4985.2015.16.042
颅脑外伤合并复合伤是临床神经外科常见疾病，具有病情凶险、病死率高等特点[1]。为进一步改善颅脑外伤合并复合伤患者的临床治疗效果，降低颅脑外伤合并复合伤患者的死亡率，本院对颅脑外伤合并复合伤患者临床治疗中风险事件的护理方法进行了研究，并取得了令人满意的临床护理效果，现将本院研究所得结果报道如下。
1 资料与方法
1.1 一般资料 选取2013年1月-2015年1月本院脑科中心收治的78例颅脑外伤合并复合伤患者作为研究对象，42例车祸伤，18例高空坠落摔伤，13例重物砸伤，5例爆炸伤。其中包括重度颅脑外伤35例，中度颅脑外伤24例，轻度颅脑损伤19例。复合伤包括多发性肋骨骨折、四肢骨折、血气胸56例，肾挫伤血尿、后腹膜血肿13例，肝破裂和肠穿孔9例。采用随机数字表法将患者分为研究组和对照组，每组各39例。研究组男24例，女15例，年龄12～71岁，平均(43.3±1.6)岁。对照组男23例，女16例，年龄15～68岁，平均(42.1±1.4)岁。两组患者在病情、性别、年龄等一般资料比较差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(吴素文)