立体定向血肿排空术治疗高血压脑出血的术后护理研究  

Study on the Postoperative Nursing for Hypertensive Cerebral Hemorrhage Treated by Stereotactic Evacuation of Hematoma

作　　者：张娟 张蕙茹 

机构地区：[1]新疆伊犁州新华医院体检中心,新疆伊犁835000

出　　处：《中外医疗》2015年第14期146-148,共3页China & Foreign Medical Treatment

摘　　要：目的分析立体定向血肿排空术治疗高血压脑出血的术后护理方法。方法随机选择于2013年1月—2014年6月期间在该院接受立体定向血肿排空术的60例高血压脑出血患者作为研究对象,随机分为对照组和观察组,各30例,对照组接受常规护理,观察组接受综合护理,比较两组患者的护理效果。结果观察组患者和对照组患者在例数最多拔管时间方面,差异有统计学意义(P<0.05);观察组患者和对照组患者在例数最多分级类型方面,差异有统计学意义(P<0.05);对照组患者并发症例数显著高于观察组,差异有统计学意义(P<0.05);观察组死亡例数与对照组相同,差异无统计学意义(P>0.05)。结论给予经立体定向血肿排空术治疗的高血压脑出血患者积极有效的术后护理,对减少其并发症,提高其远期疗效具有重要意义。Objective To analyze the postoperative nursing for hypertensive cerebral hemorrhage treated by stereotactic evacuation of hematoma. Methods 60 cases with hypertensive cerebral hemorrhage treated by stereotactic evacuation of hematoma in our hos-pital from January 2013 to June 2014 were selected as the subjects and randomly divided into the control group and the observa-tion group with 30 cases in each. The control group accepted usual care, the observation group received comprehensive nursing. And the nursing effect was compared between the two groups. Results The observation group patients and the control group pa-tients in most cases extubation time, significant difference（P〈0.05）;Patients in observation group of patients and the control group were the most grading types, significant difference （P〈0.05）;compared with the observation group, the number with complications in the control group was much more, （P〈0.05）; the death cases in the observation group were as many as those in the control group with no significant difference（P〉0.05）. Conclusion For patients with hypertensive cerebral hemorrhage treated by stereotac-tic evacuation of hematoma, positive and effective postoperative nursing is of great significance in reducing the complications and improving the long-term curative effect.

关 键 词：颅内出血 高血压脑出血 血肿排空术 护理 

分 类 号：R651.1[医药卫生—外科学]