摘要
目的探讨精准护理对脑动脉瘤血管内介入栓塞治疗围手术期的影响。方法选取2015年1月至2017年12月我院收治的80例以头痛、意识障碍、脑膜刺激征、偏瘫为主要临床表现的脑动脉瘤患者80例为研究对象,将其随机等分为观察组和对照组。对照组采用脑动脉瘤介入栓塞治疗围手术期常规护理,观察组采用脑动脉瘤介入栓塞治疗围手术期精准护理。比较两组患者手术前后焦虑(SAS)、抑郁(SDS)、格拉斯哥昏迷评分(GCS);比较两组患者手术时间与术中出血量;比较两组患者不良事件情况。结果观察组患者术后SAS,SDS评分低于对照组(P <0. 05),GCS评分高于对照组(P <0. 05),手术时间短于对照组(P <0. 05),术中出血量低于对照组(P <0. 05),不良事件发生率低于对照组(P <0. 05)。结论对脑动脉瘤介入栓塞患者实施围手术期精准护理的临床效果明显,可有效减少不良事件发生率,改善预后,值得临床推广。
Objective To investigated the effect of perioperative precision nursing on the interventional embolization of cerebral aneurysms. Methods To compared the scores of anxiety （SAS） ,depression（SDS） and Glasgow coma scale （GCS） before and after operation; compared the operation time and intra - operative blood loss ; and compared the status of incidence of adverse events, 80 cases of cerebral aneurysms patients, who claimed with headache, disturbance of consciousness, meningeal stimulation and hemiplegia as the main clinical manifestations from January 2015 to December 2017, were observed and randomly divided into study group and control group with equal members. The control group adopted the perioperative routine nursing for interventional embolization of cerebral aneurysm therapy, while the study group adopted the perioperative precision nursing for interventional embolization of cerebral aneurysm therapy. Results After operation, the SAS and SDS scores in the study group were lower than that in the control group（P 〈 0.05） , the GCS scores were higher than the control group （ P 〈 0.05 ）, operation time was shorter than that of the control group （ P 〈 0.05 ）, intra - operative blood loss was lower than the control group（P 〈 0.05）, and the incidence of adverse events was lower than that of the control group （ P 〈 0.05 ）. Conclusion The clinical effect of the application of perioperative precision nursing for interventional embolization on cerebral aneurysm patients was obviously ideal, which could effectively reduce the incidence of adverse events and improve the prognosis. It was worthy of clinical promotion.
出处
《护理实践与研究》
2018年第19期64-66,共3页
Nursing Practice and Research
关键词
脑动脉瘤
介入
栓塞治疗
精准护理
Cerebral aneurysm
Interventional
Embolization
Precision nursing
