无创监护性护理在甘露醇治疗急性脑出血后迟发性脑水肿患者中的应用  

Application effect analysis of noninvasive monitoring nursing care on using mannitol in treatment of delayed cerebral edema after acute cerebral hemorrhage

作　　者：戢艳丽 杨阳[1] 黄克芬[1] 周沐科[2] 

机构地区：[1]简阳市人民医院神经内科,四川简阳641400 [2]四川大学华西医院神经内科,四川成都610041

出　　处：《西部医学》2016年第6期870-873,共4页Medical Journal of West China

基　　金：国家自然科学基金(30872743)

摘　　要：目的探讨无创监护性护理在甘露醇治疗急性脑出血（ACH）后迟发性脑水肿中的应用效果。方法随机选择2014年5月~2015年5月在我院进行治疗的90例急性脑出血患者作为研究对象,按数表字法将患者随机分成观察组（给予无创监护性护理）及对照组（给予常规护理）各45例,比较两组患者脑水肿程度、综合结局相关指标以及护理前后的神经功能缺损评分（NIHSS）。结果发病第14天观察组的脑水肿程度显著低于对照组,差异均有统计学意义（均P〈0.05）;观察组的综合结局相关指标均显著优于对照组,差异均有统计学意义（均P〈0.05）;两组护理后的NIHSS评分分别较护理前显著降低,差异有统计学意义（P〈0.05）。护理后观察组的NIHSS评分显著低于对照组,差异有统计学意义（P〈0.05）。结论无创监护性护理在甘露醇治疗ACH后迟发性脑水肿患者护理过程中的应用效果显著,可较好地改善患者的脑水肿程度、综合结局以及NIHSS评分,可在临床推广应用。Objective To study the application effect of noninvasive monitoring nursing care in using mannitol in treatment of delayed cerebral edema after acute cerebral hemorrhage（ACH）.Methods 90 ACH patients treated in our hospital from May 2014 to May 2015 were divided into observation group（treated with noninvasive monitoring nursing）and control group（treated with routine nursing）with 45 cases in each group.Results The incidence of cerebral edema 14 d after onset of observation group was significantly lower than that of control group（P〈0.05）.The overall outcome of the observation group were significantly better than that of the control group（P〈0.05）.The NIHSS score of two groups after nursing were significantly lower than that before nursing（P〈0.05）.The NIHSS score of the observation group was significantly lower than that in the control group（P〈0.05）.Conclusion The application effect of noninvasive monitoring nursing care in using mannitol in treatment of delayed cerebral edema after ACH was significantly improved.The degree of cerebral edema,comprehensive outcome and NIHSS score of patients can be improved.

关 键 词：无创监护性护理 甘露醇 急性脑出血 迟发性脑水肿 应用效果 

分 类 号：R473.74[医药卫生—护理学]