Objective: To investigate the nursing measures and efficacy of the patients with traumatic cerebral infarction after craniocerebral injury. Methods: 21 patients with traumatic cerebral infarction after craniocerebral injury in our hospital from January 2008 to December 2010 treated by holistic nursing care were selected as holistic nursing care group; and 21 patients with traumatic cerebral after craniocerebral injury before 2007 treated by normal nursing were selected as normal nursing group. The nursing effects of two groups were compared. Results: There were no significant difference between the two groups in gender, ages, causes, types, locations and clinical manifestation (all P>0.05). The excellent and good rate of the holistic nursing care group was 47.61%, which was higher than that of normal nursing group (33.33%); the severe residual rate and mortality rate of holistic nursing care group were 14.28%, 14.28%, and both were lower than that of the normal nursing group (23.81% and 23.81%). Conclusion: The right nursing measures are the important supplementary means in the treatment of patients with traumatic cerebral infarction after craniocerebral injury, while the key is preventing the complication.%目的:探讨重型颅脑患者继发外伤性脑梗死的护理措施及效果.方法:选取我院2008年1月~2010年12月收治的进行整体护理重症颅脑损伤继发外伤后脑梗死患者21例作为整体护理组;选取2007年以前进行常规护理的21例重型颅脑继发外伤性脑梗死患者作为常规护理组.比较两组患者的护理效果.结果:两组患者在性别、年龄、受伤原因、类型、部位、临床表现等方面比较,差异无统计学意义(均P>0.05).整体护理组治疗良好率为47.61%,高于常规护理组的33.33%(P<0.05);重残率及死亡率分别为14.28%、14.28%,低于常规护理组的23.81%、23.81%(均P<0.05).结论:积极、正确的整体护理措施是对重型颅脑损伤继发外伤性脑梗死患者治疗的重要辅助手段,但治疗的关键在于预防并发症的发生.
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