幕上小量脑出血患者绝对卧床时限的护理研究.docVIP

精品论文 参考文献 幕上小量脑出血患者绝对卧床时限的护理研究 王静 张伟 王改荣 杨霞峰 孟宪红 　　（山东省聊城市脑科医院 山东聊城 252000） 　　【摘要】目的：探讨幕上自发脑出血20ml以下患者绝对卧床的时间，缩短卧床时间，提高病人的舒适度与满意度，减少并发症发生，减轻患者的经济负担，节约医疗资源。方法：选取2014年1～12月本院神经内外科幕上脑出血20ml以下患者100名，按照住院号单双号分为两组，治疗组卧床时间根据出血吸收时间，患者自觉症状决定，对照组绝对卧床4周。对比两组患者不同时间点的生命体征变化、并发症的发生率、患者的满意度、平均住院日等数据。结果：两组患者出血吸收时间相比，差异无统计学意义（Pgt;0.05），治疗组首次下床时间相比对照组显著缩短（Plt;0.01）；平均住院时间治疗组患者时间为21～25d，平均时间为（23plusmn;2）d；对照组患者时间为25～32d，平均时间为（28.5plusmn;3.5）d。治疗组患者发生再出血4例，并发症发生率为8%；对照组患者发生再出血2例，深静脉血栓1例，便秘6例并发症共发生率为18%；两组患者相比，差异有统计学意义（Plt;0.01）。治疗组患者满意率为98%，相比对照组95%显著提高（Plt;0.05）。结论：幕上自发脑出血20ml以下患者可根据患者出血吸收时间与症状适当缩短绝对卧床时间，掌握14d左右的卧床时间，患者并发症发生率无明显增加，缩短了平均住院日，减低了经济负担，患者的舒适度及满意度提高。 　　【关键词】基底节；脑出血；血量；卧床；时限 　　【中图分类号】R651 【文献标识码】A 【文章编号】1007-8231（2015）15-0008-03 　　【Abstract】Objective To explore the effects of staying in bed on sufferer of apoplexy who cerebral hemorrhage was less than 20ml.By shortening the bed time,this experiment were intended to improve the patients comfort,reduce complications,reduce costs and save medical resources.Methods 100 cases of sufferer of apoplexy who cerebral hemorrhage was less than 20ml,who were according on AD(haploid and double) divided into control group (n = 50) and treatment group (n = 50). The bed time in treatment group were depended on the symptoms of patients and the CT appearance of the patients.The control group were definitely staying in bed 4 weeks.Compared to two groups of patients vital signs,the incidence of complications,the patients satisfaction and the average length of hospital stay in defferet times.Results Compared the time of hemorrhage absorption,there was no statistically significant difference (P gt; 0.05).The bed time of the treatment group was significantly shorten than the control group (P lt;0.01);The average length of hospital stay of the treatment group (23 plusmn; 2) was significantly lower than the control group (28.5 plusmn; 3.5) (P lt;0.05);There are four patients who occurred cerebral hemorrha