CAJ | 학술논문

目的：探讨急救护理干预在重型颅脑损伤患者急救中的应用价值。方法83例重型颅脑损伤患者按照采用的护理方式，分为对照组（A组）及急诊护理干预组（B组）。A组由当班护理人员行常规护理救治措施，如保持患者呼吸道通畅；监测生命体征；建立静脉通道并抽血；配合医生气管插管等。B组由2人组成的护理小组实施急诊护理抢救，高年资的责任护士保持呼吸道通畅，监测生命体征以及配合医生气管插管，而辅助护士行建立静脉通道并抽血，遵医嘱及时给药并其他护理。比较两种护理实施过程中患者急诊科救治时间、急诊救治预后、急诊护理满意度、意外事件发生情况以及并发症发生情况等。结果2组患者急诊科抢救时间比较，A组显著长于B组（P＜0.05）；B组急诊救治预后明显好于A组（P＜0.05）；B组急诊护理满意度明显优于A组（P＜0.05）；2组意外时间发生情况比较，B组明显少于A组（P＜0.05）；B组肺部感染、应激性溃疡、中枢性高热以及电解质紊乱等并发症明显少于A组。结论急救护理能缩短急诊抢救时间，显著提高患者抢救成功率，减少并发症，最大限度保障患者的生命安全。
목적：탐토급구호리간예재중형로뇌손상환자급구중적응용개치。방법83례중형로뇌손상환자안조채용적호리방식，분위대조조（A조）급급진호리간예조（B조）。A조유당반호리인원행상규호리구치조시，여보지환자호흡도통창；감측생명체정；건립정맥통도병추혈；배합의생기관삽관등。B조유2인조성적호리소조실시급진호리창구，고년자적책임호사보지호흡도통창，감측생명체정이급배합의생기관삽관，이보조호사행건립정맥통도병추혈，준의촉급시급약병기타호리。비교량충호리실시과정중환자급진과구치시간、급진구치예후、급진호리만의도、의외사건발생정황이급병발증발생정황등。결과2조환자급진과창구시간비교，A조현저장우B조（P＜0.05）；B조급진구치예후명현호우A조（P＜0.05）；B조급진호리만의도명현우우A조（P＜0.05）；2조의외시간발생정황비교，B조명현소우A조（P＜0.05）；B조폐부감염、응격성궤양、중추성고열이급전해질문란등병발증명현소우A조。결론급구호리능축단급진창구시간，현저제고환자창구성공솔，감소병발증，최대한도보장환자적생명안전。
Objective To investigate the application value of emergency care in patients with severe traumatic brain injury . Methods 83 cases with severe traumatic brain injury were divided into control group (group A) and emergency care group (group B) in accordance with its nursing patterns. Routine care and treatment measures were performed by the nursing staff on duty in group A ,such as keeping airway ,vital signs monitored ,the intravenous access and blood established ,endotracheal in‐tubation. Group B received emergency care consisted of two nurses ,including seasoned nurse keeping patients’ airway ,detec‐ting the vital signs ,assisting endotracheal intubation ,and assistance nurse establishing the intravenous access and blood ,per‐forming prescribed administration and other treatments timely. The treatment time ,prognosis ,satisfaction ,the occurrence of unexpected events and complications were compared in two groups.Results The time of treatment in group A was significantly longer than that in group B (P<0.05);the prognosis and satisfaction of emergency treatment in group B all were significantly better than that in group A (P<0.05);the onset of unexpected events in group B was significantly less than that in group A (P<0.05);the complications including the pulmonary infection ,stress ulcer ,central heat and electrolyte disorders in group B were significantly less than that in group A (P<0.05). Conclusion Emergency care can shorten the onset of emergency de‐partment ,improve the patient survival rate ,reduce complications significantly and protect the lives for maximized possiblity.