双腔管治疗高血压脑出血护理干预措施研究.docVIP

双腔管治疗高血压脑出血护理干预措施研究 　　[摘要] 目的 探?护理干预措施对双腔管冲洗引流并尿激酶溶解治疗高血压脑出血的影响。方法 方便选取2014年5月―2016年6月该院行双腔管冲洗引流并尿激酶溶解术治疗的高血压脑出血患者122例，将符合标准的入选患者随机分为治疗组（61例）和对照组（61例），治疗组患者在给予常规护理的基础上增加以下护理措施：①控制冲洗液温度为亚低温（32～34℃）；②冲洗时快速挤压双腔管；③三通开关一端使用肝素帽封闭。观察两组患者颅内血肿清除时间、带管时间及颅内积气、感染、再出血并发症的发生率。结果 治疗组中4例、对照组中5例患者因资料不完整被删除。 治疗组患者48 h内血肿清除或残余血肿量0.05）。结论 控制冲洗液温度为亚低温、冲洗时快速挤压双腔管、三通开关一端用肝素帽封闭护理干预措施能更有效清除脑内血肿并减少并发症。 　　[关键词] 高血压脑出血；双腔管冲洗引流；尿激酶；护理干预 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2017）11（a）-0157-04 　　[Abstract] Objective To study the effect of nursing intervention measures on the double-lumen tubes washing and drainage and urokinase in treatment of hypertensive cerebral hemorrhage. Methods 122 cases of hypertensive cerebral hemorrhage patients with the double-lumen tubes washing and drainage and urokinase in our hospital from May 2014 to June 2016 were convenient selected and randomly divided into two groups with 61 cases in each， the treatment group adopted the nursing measures on the basis of the routine nursing as follows：①control the flushing fluid temperature subhypothermia （32～34℃）.②rapid extrusion of double-lumen tubes at washing. ③Using the heparin cap to close one end of three-way cock， and the clearance time of intracranial hematoma， tube time and incidence rates of intracranial pneumatocele， infection and rebleeding complications of the two groups were observed. Results 4 cases in the treatment group and 5 cases in the control group were deleted due to incomplete data， and the evacuation of hematoma or residual hematoma volume0.05）. Conclusion The nursing intervention measures of controlling the flushing fluid temperature subhypothermia， rapid extrusion of double-lumen tubes at washing and using the heparin cap to close one end of three-way cock can effectively clear the intracerebral hematoma and reduce the complications. 　　[Key words] Hypertensive cerebral hemorrhage； Double-lumen tube washing and drainage； Urokinase； Nursing intervention 　　高血压脑出血是严重威胁人类健康的常见疾病， 其病死率、致残率均很高。由于