预见性护理措施应用于颅内动脉瘤夹闭术术后护理中的效果分析.docVIP

精品论文 参考文献 预见性护理措施应用于颅内动脉瘤夹闭术术后护理中的效果分析 湖南省永州市第三人民医院神经外科 425000 【摘 要】目的：探讨预见性护理措施应用于颅内动脉瘤夹闭术患者术后护理的临床效果。方法：将我院在2007年1月～2014年1月期间收治的82例接受颅内动脉瘤夹闭术的患者分为观察组和对照组各41例，对照组患者术后给予常规护理，观察组患者给予预见性护理。比较两组患者的下床活动时间和住院时间，随访6个月记录两组患者的神经功能缺损评分（NIHSS）变化和并发症发生率。结果：观察组患者下床活动时间和住院时间显著短于对照组（P＜0.05）；观察组术后1个月、3个月和6个月的GCS评分均显著优于对照组（P＜0.05）；随访期间观察组并发症发生率显著低于对照组（P＜0.05）。结论：颅内动脉瘤夹闭术患者在术后采用预见性护理措施有助于加快患者术后康复时间，促进患者术后神经功能改善并减少并发症的发生。 【关键词】颅内动脉瘤夹闭术；术后护理；预见性护理；康复 【Abstract 】purpose：Discusses the application of predictive nursing intervention in patients with intracranial aneurysm clipping the clinical effect of postoperative nursing。Method：To our hospital from January 2007 to January 2007 in admitted during the period of 82 cases in patients undergoing intracranial aneurysm clipping was divided into observation group and the control group（n = 41)，control group postoperatively in patients with routine nursing care，observation group patients give the predictive nursing。Comparison of two groups of patients with bed activity time and hospitalization time，record two groups of patients were followed up for 6 months of nerve function defect score（NIHSS) scores change and complication rates。Consequence：Observation group of patients bed activity time and hospitalization time was significantly shorter than the control group（P lt; 0.05)；Observation group after 1 month，3 months and 6 months of GCS score were significantly better than that of control group（P lt; 0.05)；Follow-up period the complication rate of observation group was significantly lower than control group（P lt; 0.05).conclusion：Postoperative patients with intracranial aneurysm clipping in adopting predictive nursing measures will help speed up the patients with postoperative recovery time，improve nerve function after surgery for patients and reduce complications. 【keywords】Intracranial aneurysm clipping；Postoperative nursing；Predictive nursing；rehabilitation 颅内动脉瘤是指脑动脉内腔的局限性异常扩大造成动脉壁的一种瘤状突出，是造成蛛网膜下腔出血的最主要的病因。患者主要临床