预见性联合促醒刺激护理在高血压脑出血患者术后的应用  

Application of predictive combined wake-up stimulation nursing in postoperative patients with hypertensive intracerebral hemorrhage

作　　者：唐林霞 易怀美 万素贤 夏慧华 黎曙霞 TANG Linxia;YI Huaimei;WAN Suxian;XIA Huihua;LI Shuxia(Department of Intensive Care Medicine,Jiujiang Third People's Hospital,Jiangxi Province,Jiujiang 332000,China;Department of Intensive Care Medicine,Jiujiang Traditional Chinese Medicine Hospital,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]江西省九江市第三人民医院重症医学科,江西九江332000 [2]江西省九江市中医院重症医学科,江西九江332000

出　　处：《中国当代医药》2025年第8期177-180,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220218042);江西省九江市重点研发计划(指导性计划)项目(S2023ZDYFN459)。

摘　　要：目的探讨预见性联合促醒刺激护理在高血压脑出血患者术后的应用效果。方法选取2023年3月至2024年2月九江市第三人民医院收治的60例高血压脑出血患者作为研究对象,按照随机数字表法分为对照组(n=30)与观察组(n=30)。对照组采用术后常规护理,观察组采用预见性联合促醒刺激护理。比较两组的苏醒情况、神经功能、神经递质水平和并发症发生率。结果观察组的苏醒率高于对照组,差异有统计学意义(P<0.05)。护理后,观察组的格拉斯哥昏迷量表(GCS)评分、各神经递质水平均高于对照组,美国国立卫生院卒中量表(NIHSS)评分低于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论预见性联合促醒刺激护理应用于高血压脑出血术后患者中,可稳定神经功能,减少并发症发生,提高康复效果。Objective To investigate the application effect of predictive combined wake-up stimulation nursing in postoperative patients with hypertensive intracerebral hemorrhage.Methods A total of 60 patients with hypertensive intracerebral hemorrhage admitted to Jiujiang Third People's Hospital from March 2023 to February 2024 were selected as the research objects.According to the random number table method,they were divided into control group(n=30)and observation group(n=30).The control group was given routine postoperative nursing,and the observation group was given predictive combined wake-up stimulation nursing.The recovery,neurological function,neurotransmitter level and incidence of complications were compared between the two groups.Results The recovery rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the Glasgow coma scale(GCS)score,and neurotransmitter levels of the observation group were higher than those of the control group,and the National Institutes of Health stroke scale(NIHSS)score was lower than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of predictive combined wake-up stimulation nursing in postoperative patients with hypertensive intracerebral hemorrhage can stabilize neurological function,reduce complications and improve rehabilitation effect.

关 键 词：高血压 脑出血 预见性护理 促醒刺激护理 

分 类 号：R473.74[医药卫生—护理学]