针对性护理在颅脑肿瘤术后颅内低压综合征中的应用效果  

Application effect of targeted nursing on intracranial hypotension syndrome after craniocerebral tumor surgery

作　　者：张志红[1] ZHANG Zhi-hong(Department of Neurosurgery,Shenyang First People's Hospital,Liaoning Province,Shenyang 110041,China)

机构地区：[1]沈阳市第一人民医院神经外科,辽宁沈阳110041

出　　处：《中国当代医药》2020年第14期231-233,共3页China Modern Medicine

摘　　要：目的探讨针对性护理在颅脑肿瘤术后颅内低压综合征(IHS)患者的应用效果。方法选取2017年11月~2019年7月我院收治的脑膜瘤手术80例患者作为研究对象,按照随机数字表法分为观察组(n=40)与对照组(n=40)。对照组实施常规护理干预,观察组在对照组基础上实施针对性护理,比较两组临床症状:颅内压恢复正常时间、头痛消失时间及起床行走时间,计算护理后临床症状,如恶心、呕吐及头晕的比例,统计术后住院时间。结果观察组颅内压恢复正常时间、头痛消失时间及起床行走时间均短于对照组,差异有统计学意义(P<0.05),护理后观察组恶心、呕吐及头晕的发生率低于对照组,差异有统计学意义(P<0.05),观察组术后住院时间短于对照组,差异有统计学意义(P<0.05)。结论针对颅脑肿瘤术后HIS患者,实施针对性护理干预,能显著改善患者临床症状,减少不适感发生,促进患者早期康复出院。Objective To investigate the application effect of targeted nursing on intracranial hypotension syndrome(HIS)after craniocerebral tumor surgery.Methods Eighty patients with meningioma operation in our hospital from November 2017 to July 2019 were selected as the research subjects.They were divided into observation group(n=40)and control group(n=40)according to the random number table method.Patients in the control group received routine nursing intervention,and in the observation group,targeted nursing for the HIS on the basis of the control group was added.The clinical symptoms,the time for the intracranial pressure to return to normal,the time for the headache to disappear,and the time to get up and walk between two group were compared.The proportion of post-clinical symptoms including nausea,vomiting,and dizziness,and postoperative hospital stay were calculated.Results The time for the intracranial pressure to return to normal,the headache disappearance time,and the time to get up and walk in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the incidence of nausea,vomiting,and dizziness were lower than those of the control group,the differences were statistically significant(P<0.05).The postoperative hospital stay in the observation group was shorter than that in the control group,the difference was significant(P<0.05).Conclusion Targeted nursing intervention for patients with HIS after craniocerebral tumor surgery can greatly improve the clinical symptoms,reduce the occurrence of discomfort,and promote early rehabilitation and discharge of patients.

关 键 词：颅脑肿瘤 术后 颅内低压综合征 护理 效果观察 

分 类 号：R473.73[医药卫生—护理学]