预防重型颅脑损伤应激性溃疡的循证护理

目的探讨循证护理在预防重型颅脑损伤并发应激性溃疡中的意义。方法对监护室收治的73例重型颅脑损伤患者进行预防应激性溃疡的循证护理。结果本组73例重型颅脑损伤患者中并发应激性溃疡的有11例，占12．41％，死亡15例，死亡率为20．2％，较文献报道30％～50％的死亡率明显降低。结论运用循证护理的工作方法能有效降低应激性溃疡的发生率和死亡率，提高治疗效果。

Significance of Evidence Based Nursing in Preventing Stress Ulcer in Severe Brain Injury

Objective To investigate the significance of the evidence based nursing in the prevention of stress ulcer in severe brain injury. Methods The evidence based nursing was carried out in 73 cases of severe head injury patients with stress ulcer. Results The number of stress ulcer in 73 cases of severe head injury patients was 11 ,accounting for 12.41% ; 15 cases of death in 73 cases of severe head injury patients,the death rate was 20.2% ,which was lower than that of literatures（30% to 50% ） significantly. Conclusion Evidence based nursing can effectively reduce stress ulcer incidence and mortality, and improve the therapeutic effect.