围手术期护理在显微镜下颅内动脉瘤夹闭术中的应用  

Application effect of perioperative nursing in patients with intracranial aneurysm clipping under microscope

作　　者：齐红[1] 周晶[1] 赵丽茹[1] 王秀华[1] 

机构地区：[1]吉林大学第一医院神经外科,长春130021

出　　处：《中国肿瘤临床与康复》2016年第5期602-604,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨显微镜下颅内动脉瘤夹闭术的围手术期护理效果。方法选择2012年2月至2015年2月间收治的84例颅内动脉瘤患者,根据随机数字表分为研究组和对照组,每组42例。两组患者均行外科颅内动脉瘤夹闭术。研究组患者于围术期采取常规护理和预见性护理措施,对照组患者于围手术期给予常规护理干预,比较两组患者的护理效果。结果研究组患者电解质紊乱、脑血管痉挛、肺部感染的并发症发生率以及再次出血率显著低于对照组,差异有统计学意义(P<0.05)。研究组患者恢复良好率显著高于对照组,重度残疾及死亡率显著低于对照组,差异均有统计学意义(P<0.05)。研究组患者的护理满意率为97.6%,显著高于对照组的81.0%,差异有统计学意义(P<0.05)。结论围术期预见性护理干预可以有效降低显微镜下颅内动脉瘤夹闭术后的并发症发生率,保证患者的恢复效果。Objective To investigate the application effect of perioperative nursing in patients with intracranial aneurysm clipping under microscope. Methods The 84 patients with intracranial aneurysms were selected from February 2012 to February 2015 in The First Hospital of Jilin University. The patients were divided into study group and control group according to the random number table,42 cases in each group. Two groups of patients underwent surgical clipping of intracranial aneurysms. The study group were treated with routine nursing and nursing care in the perioperative period,and the control group received routine nursing intervention. The nursing effect of the two groups were compared. Results The incidence of electrolyte disorders,cerebral vascular spasm,pulmonary infection and bleeding rate in the study group were significantly lower than those in the control group,all with statistical difference（ P〈0. 05）. The recovery rate of the study group was significantly higher than that of the control group,and the severe disability and mortality were significantly lower than those in the control group,all with statistical difference（ P〈0. 05）.The nursing satisfaction rate of the study group was 97. 6%,significantly higher than the control group81. 0%,and the difference was statistically significant（ P〈0. 05）. Conclusion Perioperative nursing intervention can effectively reduce the probability of postoperative complications,ensure the recovery effect of patients and improve the quality of nursing service.

关 键 词：围手术期护理 显微镜 颅内动脉瘤夹闭术 

分 类 号：R473.6[医药卫生—护理学]