Clinical effect of nursing intervention after minimally invasive evacuation of intracranial hematoma
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摘要: 目的 对高血压脑出血患者行微创颅内血肿清除术,在术前、术中及术后给予针对性护理干预,分析护理干预后的临床效果、神经功能缺损评分以及术后并发症的发生情况。 方法 将2014年8月—2015年8月收治的96例高血压脑出血行微创颅内血肿清除术患者采用随机数字表法分为观察组和对照组,每组48例,对照组患者给予常规护理干预,观察组患者在常规护理基础上,分别于术前、术中及术后实施针对性护理干预。应用SPSS 20.0统计学软件对比2组患者术后临床效果、治疗前后神经功能缺损评分以及术后并发症发生率的差异情况,对护理干预后的临床效果进行分析。 结果 经不同的护理干预后,观察组患者临床治疗总有效率(95.83%)明显优于对照组(72.92%),差异有统计学意义(χ2=9.5605,P<0.05);观察组神经功能缺损程度评分(12.03±4.73)分明显优于对照组(18.65±5.04)分,差异有统计学意义(t=6.6356,P<0.05);观察组患者术后再出血、坠积性肺炎、便秘、下肢深静脉血栓等并发症发生率(10.42%)明显低于对照组(70.83%),差异有统计学意义(χ2=33.87,P<0.05)。 结论 对进行颅内血肿清除术患者在围手术期实施针对性护理干预后,有效改善了患者的神经功能情况,提高了临床治疗效果,减少并发症发生,有助于患者尽快恢复,提高了患者生活质量。Abstract: Objective To analyze the efficacy of perioperative,intraoperative and postoperative nursing intervention in patients with hypertensive cerebral hemorrhage after minimally invasive evacuation of intracranial hematoma,and observe the neurological deficit score and postoperative complications. Methods Total 96 patients with hypertensive cerebral hemorrhage received minimally invasive evacuation of intracranial hematoma in our hospital between August 2014 and August 2015.They were randomly divided into two groups.48 cases in the control group were given conventional nursing intervention,and 48 cases in the observation group were given perioperative,intraoperative and postoperative targeted nursing intervention.The clinical effect after the treatment,and the neurological function scores before and after the treatment,as well as the incidence of postoperative complications were compared between the two groups and analyzed using SPSS 20.0 software. Results The overall response rate of clinical nursing in the observation group (95.83%) was obviously higher than that (72.92%) in the control group,the difference was statistically significant(χ2=9.5605,P<0.05).The neurological deficit scores in the observation group (12.03±4.73) points was obviously lower than that in the control group (18.65±5.04) points,the difference was statistically significant(t=6.6356,P<0.05).The incidence of postoperative complications such as rehemorrhage,hypostatic pneumonia,constipation and deep venous thrombosis in the observation group (10.42%) was obviously lower than that in the control group(70.83%),the difference was statistically significant(χ2=33.87,P<0.05). Conclusion The perioperative nursing intervention can effectively improve neurological function and clinical outcomes,reduce complications,promote the recovery,and improve the quality of life in patients undergoing intracranial hematoma evacuation.
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