摘要
目的探讨关于高血压脑出血患者立体定向钻孔血肿引流术后的护理方法选择。方法以2017年9月至2019年3月收治的62例高血压脑出血立体定向血肿钻孔引流术后患者进行综合强化护理为观察组,与2015年1月至2017年6月收治的59例高血压脑出血立体定向血肿钻孔引流术后仅采用常规护理措施患者为对照组进行对比,观察2组患者呼吸道感染、泌尿系感染、颅内感染的发生率,二次出血发生率及拔管时间,并随访6个月,观察2组患者预后情况。结果观察组术后呼吸道感染、泌尿系感染、颅内感染发生率合计8.06%明显低于对照组23.73%,差异有统计学意义(P<0.05);观察组二次出血发生率3.22%明显低于对照组8.47%,差异有统计学意义(P<0.05);观察组拔管时间明显短于对照组,差异有统计学意义(P<0.05);所有患者随访6个月,根据格拉斯哥结果评分(GOS),观察组患者预后良好率67.74%要优于对照组38.98%,差异有统计学意义(P<0.05)。结论对于高血压脑出血立体定向血肿钻孔引流术后患者加强生命体征的监测,注意血压的控制和呼吸道管理,加强引流管管理,注意心理干预,可以显著降低各种并发症的发生,改善脑出血患者的预后。
Objective To investigate the nursing experince for patients with hypertensive intracerebral hemorrhage after stereotactic drilling hematoma drainage.Methods A total of 62 patients with hypertensive intracerebral hemorrhage,who were treated by stereotactic hematoma drilling and drainage,and treated by comprehensive nursing in our hospital from September 2017 to March 2019 were enrolled as observation group,and the other 59 patients with hypertensive intracerebral hemorrhage who were treated by stereotactic hematoma drilling and drainage,and treated by routine nursing after operation in our hospital from January 2015 to June 2017.were enrolled as control group.The incidence rates of respiratory tract infection,urinary tract infection,intracranial infection,incidence of secondary bleeding and extubation time were observed and compared between the two groups.Moreover the prognoses of patients in both groups were observed after 6-month followe up.Results The total incidence rate of postoperative respiratory tract infection,urinary tract infection and intracranial infection in observation group was 8.06%,which was significantly lower than that(23.73%)in control group(P<0.05).The incidence rate of secondary bleeding in observation group was 3.22%,which was significantly lower than that(8.47%)in control group(P<0.05).Moreover the extubation time in observation group was significantly shorter than that in control group(P<0.05).According to Glasgow Outcome Score(GOS),the good/excellent rate of prognosis in observation group was 67.74%,which was superior to that(38.98%)in control group(P<0.05).Conclusion It is necessary to strengthen the monitoring of vital signs,pay much attention to blood pressure control and respiratory management,strengthen drainage tube management,pay much attention to psychological intervention,so as to significantly decrease the incidence of various complications and improve the prognosis of patients with cerebral hemorrhage after stereotactic drilling hematoma drainage.
作者
郭辉
张静
GUO Hui;ZHANG Jing(The First Hospital Affiliated to Xingtai Medical Special School,Hebei,Xingtai 054001,China)
出处
《河北医药》
CAS
2020年第20期3177-3179,3183,共4页
Hebei Medical Journal
关键词
高血压脑出血
立体定向术
护理
hypertensive cerebral hemorrhage
stereotaxy
nursing
