目的：通过对重症颅脑损伤者ICU监护和护理效果进行观察与分析，探讨降低患者的致残率和死亡率。方法随机选取重症颅脑损伤者65例作为试验组，对其采取ICU监护和护理，对照组由另外随机抽取的65名重症颅脑损伤者患者组成，对其采取常规脑外监护及护理，对比两组患者的监护结果、护理效果、并发症等内容进行分析。结果采取ICU监护和护理的患者静脉通道、人工气道建立所需要时间、病情变化需行复查时间等均短于对照组，P＜0.05，差异具有统计学意义；采取ICU监护和护理的患者效果良好率高于对照组，死亡率低于对照组，P＜0.05，差异具有统计学意义。结论ICU监护能够及时、系统、连续的严密监测患者的情况并根据监护结果最快的掌握病情变化，有效地缩短救护措施实施所需的时间，能够提高处理重症颅脑损伤的效率。%Objective To observe and analysis the effect of ICU monitoring and nursing care of severe craniocerebral injury, and to explore reduce the morbidity and mortality of patients. Methods Selected 65 cases with severe craniocerebral injury were randomly as test group, the take ICU monitoring and nursing, the control group consisting of also randomly selected 65 patients with severe craniocerebral injury patients and to take routine brain external monitoring and nursing, the monitoring results of the comparative study of two groups of patients, nursing effect and complications, statistics and classification of related data, finally, the effective analysis of the results of that experiment results. Results Took ICU monitoring and nursing in patients with venous channels and establishment of an artificial airway need time and condition change need to review time were shorter than the control group, P<0.05, had difference statistically signiifcance. took the good of the effect of ICU monitoring and nursing in patients was higher than the control group, the mortality rate was lower than the control group, P<0.05, had difference statistically significance. Conclusion ICU to closely monitor patients timely, systematic, continuous and based on the results of monitoring the fastest grasp the patient's condition changes, effectively shorten rescue measures to implement the required time, can improve the efifciency of the severe craniocerebral injury.
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