摘要
目的观察目标血压管理对脑动脉瘤介入术后护理效果及预后影响。方法选取2018年1月至2020年12月南京医科大学附属南京医院行脑动脉瘤介入术患者340例,根据随机数字表法将其分为对照组和观察组,各170例。对照组行常规血压管理,观察组行目标血压管理。比较两组术后护理效果及预后。结果整体分析发现:收缩压和舒张压组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组术前1 h、术后即刻的收缩压、舒张压与苏醒即刻、苏醒后1 h比较,差异均有统计学意义(P<0.05);观察组收缩压、舒张压苏醒即刻、苏醒后1 h均低于对照组同期(P<0.05)。观察组非计划拔管、血压异常波动、脑动脉瘤破裂及脑梗死发生率均低于对照组(P<0.05)。观察组住院时间短于对照组(P<0.05)。术后7 d,两组格拉斯哥结局量表评分均优于术前,且观察组优于对照组(P<0.05)。结论目标血压管理对脑动脉瘤介入术起着下调术后血压作用,降低非计划拔管、血压异常波动、脑动脉瘤破裂及脑梗死发生风险,预后神经功能缺损程度更低,住院时间更短。
Objective To observe the effect of target blood pressure management on nursing effect and prognosis of cerebral aneurysm after interventional surgery.Methods A total of 340 patients with cerebral aneurysm who underwent interventional surgery in Nanjing Hospital Affiliated to Nanjing Medical University from January 2018 to December 2020 were selected.According to the random number table method,they were divided into control group and observation group,with 170 cases in each group.The control group received routine blood pressure management,and the observation group received target blood pressure management.The nursing effect and prognosis of the two groups were compared.Results Overall analysis showed that there were statistically significant differences between groups,time points and interactions in the systolic blood pressure and diastolic blood pressure(P<0.05).Further pairwise comparison,intra-group comparison:the systolic blood pressure and diastolic blood pressure of the two groups one hour before operation and immediately after operation,and immediately after awakening,and one hour after awakening were significantly(P<0.05);the systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group at the same time(P<0.05).The incidence of unplanned extubation,abnormal fluctuation of blood pressure,rupture of cerebral aneurysm,and cerebral infarction in the observation group were lower than those in the control group(P<0.05).The hospital stay in the observation group was shorter than that in the control group(P<0.05).On postoperative day seven,the Glasgow outcome scale scores of the two groups were better than those before operation,and the observation group was better than the control group(P<0.05).Conclusion Target blood pressure management plays a role in reducing postoperative blood pressure after cerebral aneurysm intervention,reducing the risk of unplanned extubation,abnormal blood pressure fluctuation,cerebral aneurysm rupture,and cerebral infarction,w
作者
潘霞
张玲霞
PAN Xia;ZHANG Lingxia(Department of Neurosurgery,Nanjing Hospital Affiliated to Nanjing Medical UniversityNanjing First Hospital,Jiangsu Province,Nanjing 210006,China)
出处
《中国医药导报》
CAS
2022年第31期178-181,共4页
China Medical Herald
基金
江苏省高校优势学科建设工程项目(YSHL0203-02)。
关键词
目标血压管理
脑动脉瘤
介入
护理
预后
Target blood pressure management
Cerebral aneurysm
Intervention
Nursing
Prognosis
