脑室腹腔分流术治疗正常压力脑积水的临床护理体会  

Clinical Nursing Experience of Ventriculoperitoneal Shunt in the Treatment of Normal Pressure Hydrocephalus

作　　者：曹艳红[1] CAO Yanhong(Department of Operation,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院手术部,河南郑州450052

出　　处：《河南医学研究》2024年第18期3454-3456,共3页Henan Medical Research

摘　　要：目的探讨脑室-腹腔分流术(V-PS)治疗正常压力脑积水(NPH)的临床护理体会。方法选取2018年1月至2022年12月在郑州大学第一附属医院神经外科接受V-PS治疗的78例NPH患者作为研究对象,并随机分为观察组和对照组。观察组接受综合护理策略,对照组接受常规的护理模式,比较两组患者的术后临床疗效、不良反应及满意度。结果观察组出院总有效率(97.4%)高于对照组的79.5%;住院期间不良反应率观察组(5.1%)低于对照组的23.1%;观察组患者满意度高达94.9%,对照组为79.5%。两组患者临床总有效率、护理满意度及不良反应发生率差异均有统计学意义(P<0.05)。结论采用综合的护理干预策略可以明显地改善围手术期NPH患者的手术治疗效果,降低不良反应发生率,并有效提高患者的护理满意度。Objective To explore the clinical nursing experience of ventriculo-peritoneal shunt(V-PS)in the treatment of normal pressure hydrocephalus(NPH).Methods A total of 78 NPH patients who received V-PS treatment in the Department of Neurosurgery of the First Affiliated Hospital of Zhengzhou University from January 2018 to December 2022 were enrolled as the study subjects and were randomly divided into observation group and control group.The observation group received a comprehensive nursing strategy,and the control group received a conventional nursing mode,and the postoperative clinical efficacy,adverse reactions and satisfaction of the two groups were compared.Results The total effective rate of discharge in the observation group was 97.4%,which was significantly higher than that in the control group(79.5%).The adverse reaction rate during hospitalization was 5.1%in the observation group,which was much lower than that in the control group(23.1%).The satisfaction rate of patients in the observation group was as high as 94.9%,and that in the control group was 79.5%.There were statistically significant differences in total clinical effective rate,nursing satisfaction and incidence of adverse reactions between the two groups(P<0.05).Conclusion The use of comprehensive nursing intervention strategies can significantly improve the surgical efficacy,reduce the incidence of adverse reactions and effectively improve the nursing satisfaction of patients with perioperative NPH.

关 键 词：正常压力脑积水 脑室-腹腔分流术 综合护理 临床疗效 

分 类 号：R471[医药卫生—护理学]