高血压脑出血行小骨窗开颅血肿清除术的围术期护理干预效果观察  

Perioperative nursing intervention efficacy for hypertensive cerebral hem-orrhage row of small bone window hematoma evacuation

作　　者：黄伟珍 贾晓雁[2] 

机构地区：[1]浙江省诸暨市中心医院外科,浙江诸暨311800 [2]浙江省立同德医院急诊科,浙江杭州310012

出　　处：《中国现代医生》2015年第16期131-133,137,共4页China Modern Doctor

基　　金：浙江省医药卫生科研基金(201474125)

摘　　要：目的探讨围术期护理干预在高血压脑出血小骨窗开颅血肿清除术中的临床护理效果。方法对我院收治的80例高血压脑出血患者资料进行分析,入选患者均行小骨窗开颅血肿清除术治疗,根据围术期不同护理方案将患者分为对照组和干预组,对照组采用常规方法护理,干预组围术期实施护理干预,比较两组护理效果。结果干预组95%对围术期护理方案疗效显著,明显优于对照组(疗效有效率为85%)(P<0.05);干预组95%对围术期护理效果满意,显著高于对照组(满意率达到65%)(P<0.05);干预组手术时间为(3.53±1.34)h、平均住院时间为(22.89±1.23)d,均显著少于对照组(P<0.05);两组并发症发生率比较差异具有统计学意义(10%vs 40%,P<0.05),干预组ADL评分为(16.2±3.7)分,躯体功能评分为(59.6±7.5)分,心理功能评分为(65.8±9.2)分,社会功能评分为(57.2±6.5)分,均高于对照组(P<0.05)。结论高血压脑出血患者行小骨窗开颅血肿清除术治疗时围术期实施护理干预效果理想,值得推广使用。Objective To explore the perioperative nursing intervention in hypertensive cerebral hemorrhage of small bone window craniotomy in clinical nursing effect. Methods All 80 cases of patients with cerebral hemorrhage in our hospital data were analyzed, selected patients underwent small bone window craniotomy treatment, depending on the pe- rioperative care program patients were divided into a control group and the experimental group and the control group conventional methods of care, implementation of the experimental group perioperative nursing intervention, nursing re- suits were compared. Results 95% of the experimental group for perioperative care program had significant effect, sig- nificantly better than the control group （efficacy rate was 85%）（P〈0.05） ; the experimental group, 95% for periopera- tire nursing satisfactory, significantly higher than the control group （satisfaction rate of 65%） （P〈0.05）; the experi- mental group operative time was （3.53±1.34） h,the average hospital stay was （22.89±1.23） days,were significantly less than the control group （P〈0.05）;two groups of complications occurrence rate comparison, with statistically significant difference （10% vs 40%, P〈0.05）,experiments group ADL score was （16.2±3.7） points, physical function score was （59.6±7.5） points, psychological function score was （65.8±9.2） points, social function score was （57.2±6.5） points, were higher than the control group （P〈0.05）. Conclusion Hypertensive intracerebral hemorrhage patients with small bone window craniotomy treatment of perioperative nursing interventions implemented the desired effect, should be intro- duced.

关 键 词：围术期护理干预 高血压脑出血 小骨窗开颅血肿清除术 护理效果 

分 类 号：R473.6[医药卫生—护理学]