綜合性護(hù)理應(yīng)用于外傷性硬膜外血腫伴顱骨缺損術(shù)后患者護(hù)理中的效果探討

摘要：目的 探討綜合性護(hù)理應(yīng)用于外傷性硬膜外血腫伴顱骨缺損術(shù)后患者護(hù)理中的效果。方法 選取我院2014年3月～2016年3月外傷性硬膜外血腫伴顱骨缺損60例患者為研究對象，按照護(hù)理方法分為兩組，護(hù)理組和對照組，每組各30例。護(hù)理組采用綜合護(hù)理方法，對照組采用常規(guī)護(hù)理方法，觀察對比兩組的護(hù)理滿意度。結(jié)果 護(hù)理組的滿意度為92.47%，對照組的滿意度為73.28%，護(hù)理組的滿意程度明顯比對照組高（P<0.05）。結(jié)論 綜合護(hù)理綜合性護(hù)理應(yīng)用于外傷性硬膜外血腫伴顱骨缺損術(shù)后患者護(hù)理中的效果良好，具有臨床推廣意義。

關(guān)鍵詞：綜合性護(hù)理；外傷性硬膜外血腫伴顱骨缺損；護(hù)理效果

Effect of Postoperative Comprehensive Nursing for Patients with Traumatic Epidural Hematoma Complicated with Skull Defects

ZHANG Yun-xia

（Guanghan People's Hospital， Guanghan 618300， Sichuan ，China）

Abstract：Objective To explore the effect of postoperative comprehensive care for patients with traumatic epidural hematoma complicated with skull defects. Methods 60 patients with traumatic epidural hematoma complicated with skull defects admitted to our hospital between March 2014 and March 2016 were selected as the research object， and were， according to nursing methods given， divided into a nursing group and a control group， with 30 cases in each group. Patients in the nursing group were treated with comprehensive nursing， whereas those in the control group received routine nursing. The nursing satisfaction in the two groups were observed and compared. Results Satisfaction in the nursing group was 92.47%， significantly higher than the 73.28% in the control group （P<0.05）. Conclusion Comprehensive care is with satisfactory clinical effect for patients after surgery for traumatic epidural hematoma complicated with skull defects， thus of significance to be popularized in clinical application.

Key words：Comprehensive nursing； Traumatic epidural hematoma complicated with skull defects； Nursing effect

外傷性硬膜外血腫伴顱骨缺損指由于人的頭部受到外力撞擊后造成顱內(nèi)出血并且造成顱骨骨折的狀況，顱骨和硬膜外腔間存在血液聚集的現(xiàn)象，在血腫的擠壓下產(chǎn)生破損[1]。由于患者顱內(nèi)血腫，治療的方法比較復(fù)雜，對術(shù)后的護(hù)理要求比較高，進(jìn)行有效的護(hù)理對術(shù)后的痊愈尤為重要，通過對外傷性硬膜外血腫伴顱骨缺損術(shù)后患者進(jìn)行綜合性護(hù)理后取得較好的治療效果，現(xiàn)報(bào)告如下：

1 資料與方法

1.1一般資料 選取2014年3月～2016年3月我院外傷性硬膜外血腫伴顱骨缺損術(shù)后患者60例為觀察對象。隨機(jī)分為兩組進(jìn)行對比，護(hù)理組和對照組，每組各30例。觀察組30例中，男16例，女14例；年齡35～55歲，均齡（44.25±1.02）歲；對照組30例中，男20例，女10例；年齡34～53歲，均齡（43.5±1.87）歲。兩組在基本資料上均無顯著差異（P>0.05），存在比較的價(jià)值。

1.2方法 全部的患者進(jìn)行通常的開顱清除血腫手術(shù)治療。……