Study on the effects of quality nursing for patients with severe cranial brain injury
重度颅脑损伤患者实施优质护理的效果研究

摘要

目的 研究重度颅脑损伤患者接受优质护理干预的效果。方法 选取2023年4月～2025年4月我院收护的重度颅脑损伤患者103例，按电脑双盲抽取法分为对照组（n=51）、研究组（n=52）。对照组采用常规护理；研究组加用优质护理。比较两组脑循环与代谢指标水平、功能损伤与营养状况评分、并发症率。结果 干预后研究组脑血流速度、血氧分压指标水平均高于对照组；研究组颅内灌注压变异系数、血乳酸指标水平均低于对照组；研究组意识障碍恢复评分高于对照组；研究组神经功能缺损与营养风险评分均低于对照组；研究组并发症率（5.77%）低于对照组（19.61%）（P＜0.05）。结论 优质护理干预可以改善重度颅脑损伤患者的脑循环与代谢水平，加速其意识状态的恢复，预防神经功能的进一步损伤，实现营养状态的良好调节，降低并发症风险，值得推广。

Abstract

Objective To study the effect of high-quality nursing intervention on patients with severe traumatic brain injury.
Methods A total of 103 patients with severe traumatic brain injury admitted to our hospital from April 2023 to April 2025 were selected and divided into a control group (n=51) and a study group (n=52) using a computer-generated double-blind method. The control group received routine nursing care, while the study group received additional high-quality nursing care. The two groups were compared on cerebral circulation and metabolic indicator levels, functional impairment and nutritional status scores, and complication rates.
Results After intervention, the cerebral blood flow velocity and blood oxygen partial pressure levels in the study group were higher than those in the control group; the coefficient of variation for intracranial perfusion pressure and blood lactate levels in the study group were lower than those in the control group; the recovery score for consciousness impairment in the study group was higher than that in the control group; the scores for neurological function deficits and nutritional risk in the study group were both lower than those in the control group; and the complication rate in the study group (5.77%) was lower than that in the control group (19.61%) (P<0.05).
Conclusion   High-quality nursing intervention can improve cerebral circulation and metabolic levels in patients with severe traumatic brain injury, accelerate the recovery of consciousness, prevent further neurological damage, achieve good regulation of nutritional status, and reduce the risk of complications, and it is worthy of promotion.