手术室风险评估护理在脑出血手术中的应用效果  

Application Effect of Risk Assessment Nursing in Operating Room for Cerebral Hemorrhage

作　　者：王柯 李志萍 周昆[1] 秦爱敏[1] 谢云霞[1] WANG Ke;LI Zhiping;ZHOU Kun;QIN Aimin;XIE Yunxia(Operation Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院河医院区手术部,河南郑州450000

出　　处：《河南医学研究》2023年第12期2261-2264,共4页Henan Medical Research

摘　　要：目的探讨手术室风险评估护理在脑出血患者手术中的应用效果。方法选取2021年5月至2022年8月郑州大学第一附属医院收治的共计86例脑出血患者,按照随机数字表法分成干预组(43例)与对照组(43例),对照组接受常规手术室护理,干预组接受手术室风险评估护理,对两组生理指标、神经功能、昏迷程度及并发症发生情况进行比较。结果干预后两组心率、收缩压、舒张压均提高,但干预组较对照组更低(P<0.05);两组美国国立卫生院卒中量表(NIHSS)评分均降低,干预组评分较对照组更低(P<0.05);两组格拉斯哥昏迷量表(GCS)评分均提高,干预组评分较对照组更高(P<0.05);干预组并发症发生率(9.30%)较对照组(23.26%)低(P<0.05)。结论手术室风险评估护理应用于脑出血患者手术室护理中,能够减轻生理指标波动程度,促进神经功能改善,减轻患者昏迷程度,降低并发症发生风险。Objective To explore the effect of applying risk assessment nursing in the operating room of patients with cerebral hemorrhage.Methods A total of 86 patients with cerebral hemorrhage who were admitted in the First Affiliated Hospital of Zhengzhou University from May 2021 to August 2022 were selected,and they were divided into the intervention group(43 cases)and the control group(43 cases)by random nmuber table method.The control group was given routine operating room nursing,and the intervention group was given operating room risk assessment nursing.The physiological indexes,nerve function,coma degree and complications of the two groups were compared.Results After the intervention,the heart rate,systolic blood pressure and diastolic blood pressure in both groups were increased,but in comparision of the control group,the intervention group were lower(P<0.05).The score of National Institute of Health stroke scale(NIHSS)in both groups were decreased,and in comparision of the control group,the scores in the intervention group were lower(P<0.05).The scores of Glasgow coma scale(GCS)in both groups were increased,and in comparision of the control group,the score in the intervention group was higher(P<0.05).In comparision of the control group(23.26%),the complication rate in the intervention group(9.30%)was lower(P<0.05).Conclusion The application of risk assessment nursing in the operating room of patients with cerebral hemorrhage can reduce the fluctuation of physiological indicators,promote the improvement of neurological function,reduce the degree of coma and reduce the risk of complications.

关 键 词：脑出血 手术室风险评估护理 手术室护理 神经功能 并发症 

分 类 号：R473.6[医药卫生—护理学]