呼吸机辅助通气在高血压脑出血患者中应用及护理.docVIP

呼吸机辅助通气在高血压脑出血患者中应用及护理 　　【摘要】目的探讨呼吸机辅助通气在高血压脑出血患者中的应用及护理措施。方法72例使用呼吸机辅助通气的高血压脑出血患者随机分成观察组与对照组, 每组36例, 对照组实施常规护理, 观察组实施系统护理干预, 比较两组患者并发症发生率。结果观察组及对照组各死亡2例。观察组并发症发生率(17.65%)明显低于对照组；平均收缩压、舒张压(123.48±10.14)、(84.56±6.85)mmHg控制更为合理。结论对高血压脑出血患者使用呼吸机辅助通气时实施系统护理干预, 有助于降低并发症发生率, 控制血压水平, 改善患者预后。 　　【关键词】呼吸机辅助通气；高血压脑出血；护理干预 　　 　　Application of mechanical ventilation in patients with hypertensive cerebral hemorrhage and its nursing LI Su-ling. Department of Emergency, First Affiliated Hospital of Shantou University Medical College,Shantou 515041, China 　　【Abstract】Objective#8195;To investigate the application of mechanical ventilation in patients with hypertensive cerebral hemorrhage and its nursing. Methods#8195;72 patients with hypertensive cerebral hemorrhage in the use of mechanical ventilation were randomly divided into observation group and control group, 36 cases in each group, patients in control group were received routine nursing, patients in observation group were received system nursing intervention, the incidence of complications in the two groups were compared. Results#8195;2 patients died in the study group and control group. The incidence of complications in observation group was 17.65%, which was significantly lower than that in control group. Average systolic blood pressure, diastolic blood pressure was (123.48±10.14)mmHg, (84.56±6.85) mmHg, controlling was more reasonable. Conclusion#8195;The implementation of the system nursing in patients with hypertensive intracerebral hemorrhage in the use of mechanical ventilation, can help reduce the incidence of complications, control blood pressure levels and improve patients’outcomes. 　　【Key words】Mechanical ventilation; Hypertensive intracerebral hemorrhage; Nursing intervention高血压脑出血是临床常见的脑血管疾病, 发病急, 常有较高的发病率、致残率及致死率。当前治疗高血压脑出血的最佳治疗方案是采取颅内血肿微创清除术, 但术后需长期卧床, 易发生肺水肿、肺部感染等并发症, 极易导致呼吸衰竭, 故临床常根据实际情况对患者采取呼吸机辅助通气治疗［1］, 但患者由于多数处于昏迷状态, 不能配合治疗, 不仅影响通气效果, 且易引起多种并发症, 故加强高血压脑出血患者呼吸机辅助通气的护理极为重要。本研究对36例高血压脑出血术后患者实施系统护理干预, 取得良好效果,