综合护理干预在脑出血患者微创锥颅血肿清除术的效果观察(1)
【摘 要】 目的 ： 分析微创锥颅血肿清除术治疗脑出血患者应用综合护理干预的效果。方法 ： 选取本院2016年7月至2019年7月诊治的100例脑出血患者的临床资料，患者均行微创锥颅血肿清除术，对照组予以常规护理，研究组予以综合护理干预，分析两组神经功能与并发症情况。结果 ： 干预后，研究组神经功能(14.33±0.38)分比对照组的(10.26±2.83)分高(P<0.05);且研究组肺感染、中枢高热等并发症发生率6.00%比对照组的22.00%低，差异具有统计学意义(P<0.05)。结论 ： 微创锥颅血肿清除术治疗脑出血患者应用综合护理干预能有效改善患者临床神经功能指标，降低并发症发生率。
【关键词】 微创锥颅血肿清除术;脑出血;综合护理干预;临床效果
Observation on the effect of comprehensive nursing intervention on minimally invasive cranial hematoma removal in patients with cerebral hemorrhage
, http://www.100md.com
Fu Xiaoyan，Xu Shanshan
Department of Neurosurgery，Pingdu People's Hospital，Qingdao，Shandong 266700
[Abstract] Objective：To analyze the effect of comprehensive nursing intervention on patients with cerebral hemorrhage treated with minimally invasive cranial hematoma removal. Methods： The clinical data of 100 patients with cerebral hemorrhage who were diagnosed and treated in our hospital from July 2016 to July 2019 were selected. The patients were treated with minimally invasive cranial hematoma removal. The control group received routine nursing care， and the study group received comprehensive nursing intervention. Neurological function and complications of the two groups were analyzed.Results： After the intervention， the score of neurological function (14.33±0.38) of the study group was higher than that of the control group (10.26±2.83) (P<0.05); and the incidence of complications such as lung infection and central high fever in the study group was 6.00%， less than 22.00% of the control group， the difference was statistically significant(P<0.05). Conclusion： Minimally invasive removal of cranial hematoma in the treatment of cerebral hemorrhage patients with comprehensive nursing intervention can effectively improve the patients' clinical neurological function indexes and reduce the incidence of complications.
, http://www.100md.com
[Key words] Minimally invasive removal of cranial hematoma;Cerebral hemorrhage;Comprehensive nursing intervention;Clinical effect
腦出血(Cerebral hemorrhage)指的是非外伤脑实质血管破裂造成出血，约占脑卒中30%，其急性病死率比较高[1]。脑出血疾病患者的临床表现为呕吐、头痛、昏迷、嗜睡等，如不能及时治疗，将严重影响患者的正常生活质量[2]。对脑出血患者通常采用手术治疗，同时，临床需重视其护理服务水平。为提高临床疗效，本研究对本院2016年7月至2019年7月诊治的100例脑出血患者的资料进行分析，报告如下。
1 资料与方法
1.1 一般资料
本研究经过医学伦理会批准，选取本院2016年7月至2019年7月诊治的100例脑出血患者的临床资料，纳入标准：签署相关知情同意书，确诊为脑出血患者，资料完整患者;排除标准：手术禁忌证者，资料不完整者，严重肝肾功能障碍者，血液免疫疾病者，其他脑疾病者;随机分为两组，每组50例。研究组女性20例，男性30例;年龄32～73岁，平均(51.39±10.58)岁;平均出血量(46.68±13.27)mL。对照组女性21例，男性29例;年龄31～75岁，平均年龄为(47.51±12.35)岁;平均出血量(48.39±12.30)mL。两组基线资料无统计学差异(P>0.05)。, http://www.100md.com(付晓艳 徐珊珊)
【关键词】 微创锥颅血肿清除术;脑出血;综合护理干预;临床效果
Observation on the effect of comprehensive nursing intervention on minimally invasive cranial hematoma removal in patients with cerebral hemorrhage
, http://www.100md.com
Fu Xiaoyan，Xu Shanshan
Department of Neurosurgery，Pingdu People's Hospital，Qingdao，Shandong 266700
[Abstract] Objective：To analyze the effect of comprehensive nursing intervention on patients with cerebral hemorrhage treated with minimally invasive cranial hematoma removal. Methods： The clinical data of 100 patients with cerebral hemorrhage who were diagnosed and treated in our hospital from July 2016 to July 2019 were selected. The patients were treated with minimally invasive cranial hematoma removal. The control group received routine nursing care， and the study group received comprehensive nursing intervention. Neurological function and complications of the two groups were analyzed.Results： After the intervention， the score of neurological function (14.33±0.38) of the study group was higher than that of the control group (10.26±2.83) (P<0.05); and the incidence of complications such as lung infection and central high fever in the study group was 6.00%， less than 22.00% of the control group， the difference was statistically significant(P<0.05). Conclusion： Minimally invasive removal of cranial hematoma in the treatment of cerebral hemorrhage patients with comprehensive nursing intervention can effectively improve the patients' clinical neurological function indexes and reduce the incidence of complications.
, http://www.100md.com
[Key words] Minimally invasive removal of cranial hematoma;Cerebral hemorrhage;Comprehensive nursing intervention;Clinical effect
腦出血(Cerebral hemorrhage)指的是非外伤脑实质血管破裂造成出血，约占脑卒中30%，其急性病死率比较高[1]。脑出血疾病患者的临床表现为呕吐、头痛、昏迷、嗜睡等，如不能及时治疗，将严重影响患者的正常生活质量[2]。对脑出血患者通常采用手术治疗，同时，临床需重视其护理服务水平。为提高临床疗效，本研究对本院2016年7月至2019年7月诊治的100例脑出血患者的资料进行分析，报告如下。
1 资料与方法
1.1 一般资料
本研究经过医学伦理会批准，选取本院2016年7月至2019年7月诊治的100例脑出血患者的临床资料，纳入标准：签署相关知情同意书，确诊为脑出血患者，资料完整患者;排除标准：手术禁忌证者，资料不完整者，严重肝肾功能障碍者，血液免疫疾病者，其他脑疾病者;随机分为两组，每组50例。研究组女性20例，男性30例;年龄32～73岁，平均(51.39±10.58)岁;平均出血量(46.68±13.27)mL。对照组女性21例，男性29例;年龄31～75岁，平均年龄为(47.51±12.35)岁;平均出血量(48.39±12.30)mL。两组基线资料无统计学差异(P>0.05)。, http://www.100md.com(付晓艳 徐珊珊)