早期护理干预对重型颅脑损伤患者促醒效果及并发症发生情况的影响

目的探讨早期护理干预对重型颅脑损伤患者促醒效果及并发症发生情况的影响。方法将65例重型颅脑损伤患者随机分为对照组30例和干预组35例，对照组采用神经外科的常规护理，干预组除神经外科的常规护理外，还采用早期护理干预，对2组患者治疗前后的格拉斯哥昏迷量表评分（GCS）以及消化道出血、关节僵硬、中枢神经高热和继发感染等并发症的发生情况进行比较分析。进行t检验及X^2检验。结果干预组治疗后的GCS评分显著高于对照组，且消化道出血、关节僵硬、中枢神经高热和继发感染等并发症的发生情况均显著低于对照组。结论早期护理干预对加速重型颅脑损伤患者的苏醒及减少并发症的发生具有明显的积极作用，对提高患者的生活质量，减轻患者的经济负担具有现实意义。

Effect of early nursing intervention in promoting wake and complications of patients with severe traumatic brain injury

Objective To probe into the effect of early nursing intervention in promoting wake and complications of patients with severe traumatic brain injury. Methods 65 severe traumatic brain injury patients were divided into the control group （30 cases） and the intervention group （35 cases） randomly. The control group used conventional neurosurgical care, while in addition to conventional care, the intervention group also adopted early nursing intervention. The glasgow coma scale （GCS） score as well as gastrointestinal bleeding, joint stiffness, central nervous fever and secondary infection went through comparative analysis in the two groups before and after treatment of patients using t test and X^2 test. Results Cornpared with the control group, the GCS score after treatment was higher, and the complications of gastrointestinal bleeding, joint stiffness, central nervous fever and secondary infection were lower in the intervention group. Conclusions Early nursing intervention on patients with severe traumatic brain injury can accelerate the awakening and reduce the occurrence of complications, it has practical significance to improve quality of life and reduce the financial burden of patients.