摘要
目的探讨个性化护理在颅内动脉瘤介入术后持续性头痛中的应用效果。方法选取2017年12月~2019年5月我院收治动脉瘤介入治疗术后严重头痛80例患者为研究对象,按照随机数字表法分为观察组(n=40)与对照组(n=40)。对照组实施常规护理,观察组实施个性化护理,比较两组干预后的颈项部疼痛、头晕头痛及恶心呕吐发生率;比较两组干预后患侧椎动脉超声指标(椎动脉内径、血流速度和阻力指数);比较两组临床干预效果。结果干预后观察组颈项部疼痛、头晕头痛、恶心呕吐发生率低于对照组,差异均有统计学意义(P<0.05),干预后观察组患侧椎动脉内径大于对照组,血流速度快于对照组,阻力指数小于对照组,差异均有统计学意义(P<0.05),观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论对颅内动脉瘤持续性头痛患者实施个体化护理干预,可显著缓解患者头痛症状,改善脑部血供,提高临床干预效果。
Objective To explore effect of personalized nursing on persistent headache after intracranial aneurysm intervention.Methods A total of 80 cases with severe headache after aneurysm interventional therapy admitted to our hospital from December 2017 to May 2019 were selected as research objects and divided into observation group(n=40)and control group(n=40)according to random number table method.The control group were received routine nursing while the observation group were received individualized nursing in this study.Then the incidence of neck pain,dizziness,headache,nausea and vomiting after intervention were compared between the two groups.The ultrasound indexes(vertebral artery diameter,blood flow velocity and resistance index)of the affected vertebral artery after intervention were compared between the two groups.The clinical intervention effects in the two groups of patients were compared.Results After intervention,the incidence of neck pain,dizziness and headache,nausea and vomiting in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the diameter of vertebral artery in the affected side of the observation group was larger than control group,average blood flow velocity was faster than control group,the resistance index was smaller than control group,the differences were statistically significant(P<0.05).The total efficiency in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Individualized nursing intervention for patients with persistent headache caused by intracranial aneurysm can significantly improve headache symptoms,cerebral blood supply and clinical therapeutic effect.
作者
张志红
ZHANG Zhi-hong(Department of Neurosurgery,Shenyang First People′s Hospital in Liaoning Province,Shenyang110041,China)
出处
《中国当代医药》
2020年第13期243-245,共3页
China Modern Medicine
关键词
颅内动脉瘤
介入治疗
术后
持续性头痛
个性化护理
Intracranial aneurysms
Interventional therapy
After operation
Persistent headache
Personalized nursing
