临床护理路径对ICU重症颅脑损伤患者并发症及预后的影响.docx

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临床护理路径对ICU重症颅脑损伤患者并发症及预后的影响

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[摘要]目的探讨临床护理路径对ICU重症颅脑损伤患者并发症及预后的影响。方法选取2018年6月～2019年6月我院ICU病房收治的60例重症颅脑损伤患者作为研究对象，采用随机数字法分为观察组和对照组各30例，其中对照组患者均给临床常规护理，观察组患者均采用临床护理路径予以干预。统计并比较两组临床并发症发生情况，采用肢体运动功能评分（Fugl-Meyer评分）及神经功能缺损程度评分（NIHSS评分）对两组预后情况进行评价。结果观察组患者临床并发症发生率6.67%明显低于对照组的26.67%，观察组护理干预后的Fugl-Meyer评分、NIHSS评分均明显优于对照组，差异均具有统计学意义（P0.05）。结论临床护理路径能有效降低ICU重症颅脑损伤患者临床并发症发生率，干预后患者预后改善明显。

[关键词]护理路径；重症颅脑损伤；并发症；预后

[Abstract]objectivetoexploretheinfluenceofclinicalnursingpathoncomplicationsandprognosisofICUpatientswithseverecraniocerebralinjury.Methods60casesofseverecraniocerebralinjurypatientsadmittedtoICUwardofourhospitalfromJune2018toJune2019wereselectedastheresearchobjects,andwerepidedintotheobservationgroupandthecontrolgroupbyrandomnumbermethod,30caseseach.Thepatientsinthecontrolgroupweregivenroutineclinicalnursing,andthepatientsintheobservationgroupweregivenclinicalnursingintervention.Theincidenceofclinicalcomplicationsinthetwogroupswasstatisticallyanalyzedandcompared.Theprognosisofthetwogroupswasevaluatedbyusingthelimbmovementfunctionscore(fugl-meyerscore)andthedegreeofneurologicalimpairmentscore(NIHSSscore).Resultstheincidenceofclinicalcomplicationsintheobservationgroupwas6.67%,whichwassignificantlylowerthan26.67%inthecontrolgroup.Thefugl-meyerscoreandNIHSSscoreintheobservationgroupafternursinginterventionweresignificantlybetterthanthoseinthecontrolgroup,withstatisticallysignificantdifferences(P0.05).ConclusionclinicalnursingpathwaycaneffectivelyreducetheincidenceofclinicalcomplicationsinICUpatientswithseverecraniocerebralinjury,andtheprognosisofpatientsafterinterventionissignificantlyimproved.

[Keywords]nursingpath;Severecraniocerebralinjury;Complications;Theprognosis

重症颅脑损伤是临床较为常见的急危重症，患者大多因各种暴力打击而造成颅脑严重受损，发病较为突然