机械性碎栓联合接触性溶栓治疗颅内静脉窦血栓的护理  

Nursing care of the treatment of intracranial venous sinus thrombosis by mechanical chipped thrombolysis combined with contact thrombolysis

作　　者：陈珊珊[1] CHEN Shanshan(Intensive Care,the Second Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第二附属医院重症护理

出　　处：《中国实用神经疾病杂志》2019年第10期1131-1135,共5页Chinese Journal of Practical Nervous Diseases

摘　　要：目的总结对颅内静脉窦血栓患者提供机械性碎栓联合接触性溶栓治疗期间的护理要点。方法选取河南科技大学第二附属医院2016-03—2017-01收治的78例颅内静脉窦血栓患者,按照随机数字表法分为普通组与干预组各39例,2组均接受机械性碎栓联合接触性溶栓治疗,科室为普通组提供一般护理服务,为干预组提供早期护理干预服务,总结2组术后并发症发生率、疾病恢复有效率,评估患者对临床护理质量评分。结果普通组对于临床提供护理质量等指标评分均低于干预组(P<0.05)。普通组经护理干预后,疾病恢复有效率79.49%,干预组为92.31%,干预组恢复有效率高于普通组(P<0.05)。普通组术后发生并发症发生率23.08%,干预组为5.13%,干预组发生率低于普通组(P<0.05)。结论为颅内静脉窦血栓患者提供机械性碎栓联合接触性溶栓治疗期间,加强护理干预措施,有助于提高护理质量,促进患者术后恢复,且并发症发生率较低。Objective To summarize the main points of nursing during the treatment of intracranial venous sinus thrombosis with mechanical chondrosis combined with contact thrombolysis. Methods 78 patients with intracranial venous sinus thrombosis were admitted in our hospital.The patients were divided into 39 cases in the normal group and 39 cases in the intervention group according to the random number table method.Both groups were treated with mechanical chonk combined with contact thrombolysis.The department provides general nursing services for patients in the general group,provides early nursing intervention services for patients in the intervention group,summarizes the incidence of postoperative complications and the efficiency of disease recovery in the two groups of patients,and evaluates the quality of clinical care for patients. Results The quality of clinical care was lower than that of the intervention group( P <0.05).After nursing intervention,the recovery efficiency of the patients in the general group was 79.49%,and the recovery efficiency of the intervention group was 92.31%.The recovery efficiency of the patients in the intervention group was higher than that of the normal group( P <0.05).The incidence of postoperative complications in the general group was 23.08%,5.13% in the intervention group,and the incidence in the intervention group was lower than in the general group( P <0.05). Conclusion During the treatment of intracranial venous sinus thrombosis with mechanical thrombolysis combined with contact thrombolytic therapy,the nursing intervention was strengthened and the effect was better.Most of the patients said that the quality of clinical nursing was higher,and the patients recovered after intervention.The efficiency is higher.The incidence of postoperative complications was low.

关 键 词：机械性碎栓 接触性溶栓 颅内静脉窦 血栓 护理质量 

分 类 号：R473.74[医药卫生—护理学]