多模式血压控制方案对脑动脉瘤患者术后预后状况的影响  

Effect of multimodal blood pressure control scheme on postoperative prognosis of patients with cerebral aneurysms

作　　者：卓惠洁 张双 孙洁 ZHUO Huijie;ZHANG Shuang;SUN Jie(The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学附属医院,江苏徐州221000

出　　处：《中西医结合护理(中英文)》2024年第12期29-32,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨多模式血压控制方案对脑动脉瘤患者术后预后状况的影响。方法选取2021年5月至2023年5月在徐州医科大学附属医院行开颅脑动脉瘤夹闭术的90例患者作为研究对象,采用随机数字表法分为对照组和观察组,每组45例。对照组采取常规护理,观察组在常规护理的基础上增加多模式血压控制方案。比较2组的血压水平、生化指标、神经功能及自理能力等。结果2组在术后1个月的收缩压和舒张压、神经元特异性烯醇化酶(NSE)和中枢神经特异蛋白(S100-β)水平、美国国立卫生研究院卒中量表(NIHSS)评分均低于术后1 d和术后14 d,以及Barthel指数(BI)均高于术后1 d和术后14 d,且术后14 d均优于术后1 d(P均<0.05);术后14 d和1个月,观察组的血压水平、生化指标、NIHSS和BI评分均优于同期对照组(P均<0.05)。相较于对照组的并发症总发生率,观察组更低(P<0.05)。结论多模式血压控制方案能够有效控制脑动脉瘤术后患者的血压,促进其神经功能恢复,提高其生活自理能力,对患者预后的改善也具有积极影响。Objective To explore the effect of multimodal blood pressure control scheme on the postoperative prognosis of patients with cerebral aneurysms.Methods Ninety patients who underwent craniotomy for cerebral aneurysm clipping at the Affiliated Hospital of Xuzhou Medical University from May 2021 to May 2023 were selected as the study subjects.They were assigned into a control group and an observation group by the random number table method,each with 45 patients.The control group received routine nursing,while the observation group received the multimodal blood pressure control scheme in addition to routine nursing.The blood pressure level,biochemical parameters,neurological function,and self-care ability were compared between the two groups.Results The systolic and diastolic blood pressures,neuron specific enolase(NSE)and central nervous system specific protein(S100-β)levels,National Institutes of Health Stroke Scale(NIHSS)scores of both groups at 1 month after surgery were lower than those at 1 and 14 days after surgery,and the Barthel Index(BI)scores of both groups were higher than those at 1 and 14 days after surgery(all P<0.05).The above indicators at 14 days after surgery were superior to those at 1 day after surgery(all P<0.05).At 14 days and 1 month after surgery,the blood pressure level,biochemical parameters,NIHSS scores,and BI scores of the observation group were superior to those of the control group(all P<0.05).Compared with the control group,the observation group had a lower overall incidence of complications(P<0.05).Conclusion The multimodal blood pressure control scheme can effectively control the blood pressure of patients after cerebral aneurysm surgery,promote their recovery of neurological function,improve their self-care ability,and have a positive impact on improving their prognosis.

关 键 词：脑动脉瘤 开颅脑动脉瘤夹闭术 多模式血压控制 血压 神经功能 

分 类 号：R473.6[医药卫生—护理学]