合并糖尿病的脑出血患者行微创血肿清除术的护理对策分析  

Analysis of Nursing Strategies for Minimally Invasive Hematoma Evacuation in Patients with Diabetes Cerebral Hemorrhage

作　　者：徐娇 陈超丽[1] XU Jiao;CHEN Chaoli(Department of Neurosurgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350000 China)

机构地区：[1]福建医科大学附属第一医院神经外科一区,福建福州350000

出　　处：《糖尿病新世界》2021年第5期126-128,共3页Diabetes New World Magazine

摘　　要：目的探讨合并糖尿病的脑出血患者行微创血肿清除术的护理对策。方法选择2019年1—8月在该院治疗的156例合并糖尿病的脑出血患者作为观察对象,随机将其分为两组,其中对照组(n=78)实施常规护理,研究组(n=78)在此基础上实施综合护理,记录并对比两组患者第3天以及第5天血肿清除情况、神经功能评分量表(SSS)、生活能力评分量表(ADL)、肢体功能评分量表(FM)等指标评分、护理满意度及总并发症发生率情况。结果研究组血肿清除率(89.74%)、护理满意度(94.87%)高于对照组血肿清除率(64.10%)及护理满意度(76.92%),而空腹血糖水平低于对照组,差异有统计学意义(P<0.05);两组护理后SSS评分、ADL评分以及FM评分均优于护理前,且研究组明显优于对照组,差异有统计学意义(P<0.05);对照组总并发症发生率(35.90%)明显高于研究组总并发症发生率(15.38%),差异有统计学意义(P<0.05)。结论综合护理可以明显提高合并糖尿病的脑出血实施微创血肿清除术的护理满意度及各康复指标。Objective To explore the nursing strategy of minimally invasive hematoma removal for cerebral hemorrhage patients with diabetes.Methods 156 patients with cerebral hemorrhage combined with diabetes who were treated in the hospital from January to August 2019 were selected as observation objects,and they were randomly divided into two groups.The control group(n=78)received routine care and the study group(n=78)performed on this basis comprehensive nursing,recorded and compared the hematoma clearance,neurological function score scale(SSS),living ability score scale(ADL),limb function score scale(FM)and other index scores on the 3rd and 5th day of the two groups of patients and nursing satisfaction and total complication rate.Results The hematoma clearance rate(89.74%)and nursing satisfaction(94.87%)of the study group were higher than the hematoma clearance rate(64.10%)and nursing satisfaction(76.92%)of the control group,while the fasting blood glucose level was lower than that of the control group,the difference was statistically significant(P<0.05).After SSS score,ADL score and FM score were all better than before nursing,and the study group was significantly better than that of the control group,the difference was statistically significant(P<0.05);and the total complication rate of the control group(35.90%)was significantly higher than the total complication rate of the study group(15.38%),the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing care can significantly improve the nursing satisfaction and various rehabilitation indicators of minimally invasive hematoma removal in cerebral hemorrhage complicated with diabetes.

关 键 词：糖尿病 脑出血 微创血肿清除术 护理对策 

分 类 号：R47[医药卫生—护理学]