颅脑外伤术后颅骨修补术的系统护理效果观察

杨丹

【摘 要】目的：观察分析颅脑外伤术后颅骨修补术的系统护理效果。方法：选取82例颅脑外伤术后颅骨修补术患者随机分成两组，对照组围术期实施常规护理，观察组在对照组基础上实施系统护理干预，观察对比两组护理效果。结果：观察组术后并发症发生率低于对照组，观察组住院时间短于对照组，护理满意度评分高于对照组（P<0.05）。结论：对颅脑外伤术后颅骨修补术患者实施系统护理能有效促进手术成功实施、减少手术并发症、缩短康复时间，可予以推广应用。

【关键词】颅脑外伤术后;颅骨修补术;系统护理;效果;观察

Abstract： objective： To observe and analyze the systematic nursing effect of cranioplasty after craniocerebral trauma. Methods 82 patients with cranioplasty after craniocerebral trauma were randomly divided into two groups. The control group was given routine nursing during the perioperative period， and the observation group was given systematic nursing intervention on the basis of the control group. Results the incidence of postoperative complications in the observation group was lower than that in the control group， the length of stay in the observation group was shorter than that in the control group， and the score of nursing satisfaction was higher than that in the control group （P < 0.05）. Conclusion systematic nursing for patients with cranioplasty after craniocerebral trauma can effectively promote the successful implementation of the operation， reduce the complications of the operation and shorten the recovery time， which can be widely used.

Keywords： craniocerebral trauma; cranioplasty; systematic nursing; effect; observation

【中图分类号】R873.5【文献标识码】A【文章编号】1672-3783（2020）04-12-113-01

颅骨修补术是针对颅脑外伤术后患者颅骨缺损而对其进行修补的一种脑外科常见手术，而此类患者常伴有严重的身心创伤，在其围手术期实施有效的护理干预对于确保手术成功实施以及减少术后并发症、促进术后康复均有着重要的临床意义[1]。本次我院在41例颅脑外伤术后颅骨修补术患者的围手术期实施系统护理干预取得良好效果，为给日后临床该类患者的护理工作提供参考，现将具体研究情况报道如下。

1 资料与方法

1.1 一般资料 将2016年1月-2018年12月间我院82例颅脑外伤术后颅骨修补术患者列入研究，所有患者均为颅脑外伤行去骨瓣减压术后患者，具有颅骨修补术指征，并于去骨瓣术后3-6个月间拟行颅骨修补术。随机分为两组各41例，对照组中，男24例，女17例，年龄19-60岁[（39.8±11.5）岁]，颅骨缺损部位在颞部18例、额部15例，额颞部8例，缺损面积18-100cm2[（60.5±22.9）cm2];觀察组中，男25例，女16例，年龄20-63岁[（40.3±11.7）岁]，颅骨缺损部位在颞部19例、额部14例，额颞部8例，缺损面积16-104cm2[（60.7±23.1）cm2]。入组前均与两组患者及家属沟通，对本次研究知情并同意参与，签署知情同意书。……