约束带在神经外科介入治疗术后的应用

目的分析神经外科介入治疗术后约束带使用效果，完善介入治疗术后护理，降低术后并发症发生率。方法将2009年6月至2010年12月125例介入治疗术后患者随机分为治疗组和对照组，治疗组应用约束带，加压固定止血；对照组仅加压止血，未使用约束带。应用约束带固定24h后，分别比较观察两组患者失眠、皮下血肿、局部压疮等并发症发生率。结果治疗组发生失眠13例，占21．7％，对照组发生失眠28例，占43．1％，组间比较差异具有统计学意义（χ2=32．23，P〈0．05）。治疗组发生皮下血肿1例，占1．67％，对照组发生皮下血肿4例，占6．15％；组间比较差异具有统计学意义（χ2=4．21，P〈0．05）。结论介入治疗术后常规使用约束带，能提高术后的护理质量，降低术后并发症发生率，是一种行之有效的护理措施，值得临床护理推广。

A randomized and controlled experiment study of the restriction band in brain interventional therapy

Objective To observe effects of the restriction band in brain interventional therapy for the purpose of improving nuring quality and decreasing postoperative morbidity.Methods 125 patients who underwent brain interventional therapy from Jan to Dec 2010 were allocated and randomized to two groups in a double-blind manner were provided with the use of the restriction band plus immobilized hemostasia and those in the control group were only provided with immobilized hemostasis.24h later the incidence of insomnia subcutaneous hematoma and local pressure sores of the patients in the 2 groups were observed and compared.Results 13 cases in intervention group were insomnia(21.7％)and 28 cases in control group(43.1％),and the difference was significant(x2 =32.23,P ＜ 0.05).1 case(1.67％)has subcutaneous hematoma in intervention group and 4 cases(6.15％)in control group,and the difference was significant(x2 =4.21,P＜0.05).Conclusions The use of the restriction band is able to improve nursing quality and reduce postoperative morbidity in patients who receive brain interventional therapy.It is an effective nursing quality and could reduce postoperative morbidity in patients who receive brain interventional therapy.It is an effective nursing measure and worthy of spreading clinically.