重症脑出血微创颅内血肿清除引流手术的护理配合及结局观察  

Observation of Nursing Cooperation and Nursing Outcomes of Minimally Invasive Intracranial Hematoma Evacuation and Drainage Surgery for Severe Cerebral Hemorrhage

作　　者：薛红 邵传亮 Xue Hong;Shao Chuanliang(Liaocheng People’s Hospital,Liaocheng,Shandong,252000,China)

机构地区：[1]聊城市人民医院,山东聊城252000

出　　处：《中国初级卫生保健》2024年第9期92-94,共3页Chinese Primary Health Care

摘　　要：目的:探析重症脑出血患者行微创颅内血肿清除引流术的护理配合方法。方法:选取2022—2023年聊城市人民医院收治的150例行微创颅内血肿清除引流手术的重症脑出血患者,采用随机数表法将其分为对照组和研究组,每组各75例。对照组患者术中予以常规护理配合,研究组患者术中在常规护理配合基础上予以加强护理配合,对比两组患者症状改善时间、ICU入住时间和并发症发生情况。结果:研究组患者症状改善时间为(4.01±1.09)d、ICU入住时间为(8.42±0.43)d,低于对照组患者的(6.38±1.70)d、(10.38±2.90)d,组间比较差异均有统计学意义(t值分别为10.164、5.790,P<0.05);研究组患者并发症发生率为2.67%,低于对照组(12.00%),差异有统计学意义(χ^(2)=4.807,P<0.05)。结论:在重症脑出血患者行微创颅内血肿清除引流手术过程中,加强护理配合,能够促进患者身体恢复,减少并发症发生。OBJECTIVE To analyze nursing coordination methods for minimally invasive intracranial hematoma evacuation and drainage surgery in patients with severe cerebral hemorrhage.METHODS A total of 150 patients with severe cerebral hemorrhage ad⁃mitted to Liaocheng People’s Hospital from 2022 to 2024 were selected as the study subjects.All patients underwent minimally inva⁃sive intracranial hematoma removal and drainage surgery,and were randomly divided into a control group(n=75)and a research group(n=75)using a random number table method.Patients in the control group received routine nursing care during the operation,while patients in the research group received enhanced nursing care.The stress response,recovery outcomes,and incidence of com⁃plications were compared between the two groups.RESULTS The time for symptom relief in the patients in the research group was(4.01±1.09)days,and the time for ICU stay was(8.42±0.43)days,which was lower than that in the control group,which was(6.38±1.70)days and(10.38±2.90)days,respectively(t=10.164,5.790,P<0.05).The incidence of complications in the patients in the re⁃search group was significantly lower than that in the control group(χ^(2)=4.807,P<0.05).CONCLUSION For patients with severe ce⁃rebral hemorrhage,enhancing nursing cooperation during minimally invasive intracranial hematoma removal and drainage surgery has been shown to be effective in promoting recovery,reducing complications,and effectively improving patient outcomes.It is recom⁃mended that this approach be further utilized and promoted.

关 键 词：微创颅内血肿清除引流手术 重症脑出血患者 护理 

分 类 号：R473[医药卫生—护理学]