摘要
目的:探究预控预警性风险管理在高血压性脑出血微创血肿穿刺引流术中的应用效果。方法:选择2019年1月-2021年6月于厦门大学附属第一医院行微创血肿穿刺引流术的86例高血压性脑出血患者作为研究对象,将2019年1月-2020年4月收治的予以感染预防干预的患者纳入对照组(n=43),将2020年5月-2021年6月收治的予以预控预警性风险管理的患者纳入观察组(n=43)。比较两组的干预效果、并发症发生状况(消化出血、感染、脑疝、高热)、血压指标、Fugl-Meyer运动功能评定量表评分、日常生活活动能力(ADL)量表评分。结果:干预3个月后,两组治疗效果比较,差异无统计学意义(P>0.05)。干预3个月后,两组血压指标均优于干预前,且观察组均优于对照组,差异有统计学意义(P<0.05)。干预3个月后,两组Fugl-Meyer运动功能评定量表评分、ADL量表评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论:预控预警性风险管理能够降低行微创血肿穿刺引流术的高血压性脑出血患者并发症发生率,改善预后状况,且对治疗效果影响较小。
Objective:To explore the effect of pre-control and early-warning risk management on minimally invasive hematoma puncture and drainage for hypertensive intracerebral hemorrhage.Method:A total of 86 patients with hypertensive intracerebral hemorrhage who underwent minimally invasive hematoma puncture and drainage in the First Affiliated Hospital of Xiamen University from January 2019 to June 2021 were selected as research objects.Patients who received infection prevention interventions from January 2019 to April 2020 were included in the control group(n=43).Patients who received pre-control and early-warning risk management from May 2020 to June 2021 were included in the observation group(n=43).Compared the intervention effects,incidence of complications(digestive bleeding,infection,cerebral hernia,high fever),blood pressure indicators,Fugl-Meyer motor function assessment scale scores,and activity of daily living assessment(ADL)scale scores between the two groups.Result:After 3 months of intervention,there was no statistically significant difference in treatment effectiveness between the two groups(P>0.05).After 3 months of intervention,blood pressure indicators in both groups were better than those before intervention,and the observation group were better than those in the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the Fugl-Meyer motor function assessment scale scores and ADL scale scores of the two groups were higher than those before intervention,and the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Pre-control and early-warning risk management can reduce the incidence of complications in hypertensive intracerebral hemorrhage patients undergoing minimally invasive hematoma puncture and drainage,improve the prognosis,an
作者
陈小云
邱仁芳
CHEN Xiaoyun;QIU Renfang(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China;不详)
出处
《中外医学研究》
2023年第22期105-109,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
颅内压监测
预控预警性风险管理
高血压性脑出血
微创血肿穿刺引流
Intracranial pressure monitoring
Pre-control and early-warning risk management
Hypertensive intracerebral hemorrhage
Minimally invasive hematoma and drainage
