护理干预对破裂颅内动脉瘤行早期夹闭手术患者再次出血及预后的影响

目的 探讨围手术期护理对破裂颅内动脉瘤行早期夹闭手术患者再次出血及预后的影响.方法 将168例行早期显微夹闭手术的颅内动脉瘤患者随机分为观察组86例和对照组82例.观察组患者实行围手术期预见性护理干预,对照组实行常规护理,观察2组患者术中及术后的再次出血情况.记录术后出现脑血管痉挛、电解质紊乱以及肺部感染病例数.出院时按格拉斯哥(GOS)标准评价疗效.结果 观察组患者再次出血、脑血管痉挛、电解质紊乱及肺部感染发生率均明显低于对照组;观察组79.1%患者恢复良好,对照组为63.4%,2组差异显著;观察组严重残疾率和死亡率均低于对照组,差异显著.结论 围手术期护理降低了破裂颅内动脉瘤行早期夹闭手术患者动脉瘤再次破裂出血率,减少了并发症的发生率,从而降低了死亡率和致残率.

Influence of nursing intervention on rehaemorrhagia and prognosis of patients with clipping intracranial aneurysm

Objective To know the influence of intervention on rehaemorrhagia and prognosis of patients with clipping intraerania]aneurysn. Methods Divided 168 patients with clipping intracranial a-neurysm into the observation group (86 cases) and the control group (82 cases) randomly. Perioperative nursing of prospectivity was used in the observation group, while routine nursing cares was used in the con-trol group. Compared the GOS scores and condition of rehaemorrhagia. Results The incidence rate of rehaemorrhagia, cerebral angiospasm, dead and electrolyte disturbances in the observation group was significant lower than those of in the control group, there were 79.1% patients in the observation group had occurred proper rehabilitation, the radio in the control group was 63.4%, the difference was signifi-cant. Conclusions Perioperative nursing of prospectivity can effective avoid certain postoperative com-plicatioas, and then ameliorate the prognosis of patients.