综合干预实践预防蛛网膜下腔出血并发症的护理研究.docVIP

精品论文 参考文献 综合干预实践预防蛛网膜下腔出血并发症的护理研究 王　昕 　　首都医科大学附属天坛医院急诊科　北京　１０００５０ 作者简介:王昕,女,(１９７２－),本科,急诊科护士长,副主任护师;研究方向:急救护理管理. 　　【摘要】　目的　探讨综合护理干预在预防蛛网膜下腔出血患者并发症的护理效果.方法　选取我院急诊神经内科２０１４年３月~２０１５年３月收治的３００ 例SAH 患者为研究对象.将所有患者随机分为对照组和观察组各１５０例.对照组给予常规护理,观察组给予综合护理干预.比较两组患者并发症发生率.结果　观察组共有３名患者发生再出血,再出血发生率为２％(３/１５０),对照组再出血发生率为８．７％.差异具有统计学意义(P＜０．０５).观察组共有１５名患者出现中重度血管痉挛,发生率为１０％(１５/１５０),对照组中重度血管痉挛的发生率为３２％,差异具有统计学意义(P＜０．０５).结论　进行综合干预护理与常规护理的对比研究发现,可以显著降低患者再出血及血管痉挛的发生率,同时能够提高手术的安全性. 【关键词】　综合护理干预;预蛛网膜下腔出血;并发症【中图分类号】R４７３．７４ 【文献标识码】A 　　【文章编号】Comprehensivenursinginterventionofcomplicationsinpatientswithsubarachnoidhemorrhage【Abstract】objective　ToinvestigatetheeffectofperioperativenursinginterventioninthepreventionofcomplicationsinpatientswithsubarachnoidhemorＧrhage(SAH)．Methods　ThreehundredpatientswithSAH wererandomlydividedintocontrolgroupandobservationgroup,１５０casesincontrolgroupandobserＧvationgroup．Thepatientsincontrolgroupweregivenroutinenursingandintheobservationgroupweregivencomprehensivenursing．Theincidencesofrecurrentbleedingandvasospasmwerecomparedbetweenthetwogroups．Results　Therewere３patientswithrecurrentbleedingintheobservationgroup,theincidenceratewas２％ (３/１５０),andtheincidencerateinthecontrolgroupwas８．７％ (１３/１５０)．Thedifferencewasstatisticallysignificant(P＜０．０５)．Therewere１５patientsintheobservationgroupwithmoderateandseverevasospasmandtheincidenceratewas１０％ (１５/１５０)．However,therewere４８patientsinthecontrolgroupwithmoderateandseverevasospasmandtheincidenceratewas３２％ (４８/１５０)．Thedifferencebetweenthetwogroupswasstatisticallysignificant(P＜０．０５)．Conclusion　AcomparativestudyofperioperativenursingforthepatientswithSAH wasfoundthatgivingpatientsacomprehensiveperioperativenursingcansignificantlyreduc【eKtehyewinocriddse】nceofrecurrentbleedingandvasospasm,thuscanimprovethesafetyofsurgeryandreducethecomplications． ComprehensiveNursing;Subarachnoidhemorrhage;complication【中图分类号】R４７ 【文献标识码】A 　　【文章编号】１００８－６３１５(２０１５)１２－１０２０－０２　　 　　动脉瘤性蛛网膜下腔出血(subarachnoidhemorrhage,SAH)是一种在脑动脉瘤及急性卒中患者中经常发生的一类非常严重的疾病,指蛛网膜内血