风险管理对持续腰大池引流患者颈项强直和头痛持续时间、脑脊液压力及预后康复的影响  

The influence of risk management on the duration of neck stiffness and headache,cerebrospinal fluid pressure and prognosis and rehabilitation of patients with continuous lumbar cistern drainage

作　　者：刘卉[1] 方家香[1] LIU Hui;FANG Jiaxiang(Department of Neurosurgery,Ganzhou People's Hospital in Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院神经外科,江西赣州341000

出　　处：《中国现代医生》2020年第36期153-156,共4页China Modern Doctor

基　　金：江西省赣州市指导性科技计划项目(GZ2017ZSF209、GZ2017ZSF213)。

摘　　要：目的探讨风险管理对持续腰大池引流患者颈项强直和头痛持续时间、脑脊液压力及预后康复的影响。方法选择2017年12月~2019年12月本院收治的颅内动脉瘤患者82例,采用随机数字表法分为两组,每组各41例。两组均接受持续腰大池引流,对照组实施常规护理,观察组在对照组基础上实施风险管理。比较两组颈项强直持续时间、头痛持续时间、脑脊液压力及并发症情况。结果观察组头痛持续时间为(5.23±1.89)d、颈项强直持续时间为(8.33±1.61)h,均短于对照组的(7.73±1.69)d、(10.23±1.40)h,差异有统计学意义(P<0.05)。观察组术后第14天脑脊液压力为(151.36±13.26)mmH2O,低于对照组的(166.24±15.40)mmH2O,差异有统计学意义(P<0.05)。观察组并发症总发生率(4.88%)低于对照组(21.96%),差异有统计学意义(P<0.05)。结论风险管理能有效缩短持续腰大池引流患者颈项强直和头痛持续时间,降低脑脊液压力,减少并发症的发生,值得临床推广使用。Objective To explore the effect of risk management on the duration of neck stiffness and headache,cerebrospinal fluid pressure and prognosis of patients with continuous lumbar cistern drainage.Methods Eighty-two patients with intracranial aneurysm admitted to our hospital from December 2017 to December 2019 were selected and divided into two groups by random number table,with 41 cases in each group.Both groups received continuous lumbar cistern drainage.The control group was received routine nursing,and the observation group was implemented risk management on the basis of the treatment in the control group.The duration of neck stiffness,headache duration,cerebrospinal fluid pressure and complications were compared between the two groups.Results The duration of headache(5.23±1.89)d and the duration of neck stiffness(8.33±1.61)h in the observation group was shorter than([7.73±1.69]d and[10.23±1.40]h)in the control group,and the difference was statistically significant(P<0.05).The cerebrospinal fluid pressure(151.36±13.26)mmH2O in the observation group was lower than(166.24±15.40)mmH2O in the control group on the 14th postoperative day,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group(4.88%)was lower than that in the control group(21.96%),and the difference was statistically significant(P<0.05).Conclusion Risk management can effectively shorten the duration of headache in patients with continuous lumbar cistern drainage,reduce the pressure of cerebrospinal fluid,and reduce the occurrence of complications.It is worthy of clinical application.

关 键 词：风险管理 持续腰大池引流 头痛 脑脊液 生活质量 

分 类 号：R473.74[医药卫生—护理学]