优质护理在椎一基底动脉供血不足患者治疗中的作用.docVIP

优质护理在椎一基底动脉供血不足患者治疗中的作用 　　[摘要]目的 探讨优质护理在椎-基底动脉供血不足患者护理中临床应用效果。 方法 随机抽取该院2013年1月―2014年8月收治的椎-基底动脉供血不足患者80例，随机分为观察组和对照组各40例，对照组给予常规护理，观察组在其基础上实行优质护理。 结果 提高了患者的恢复速度，并大大减少了病情反复的机会。观察组总有效率达97.50%，显著高于对照组75.00%；而观察组复发率明显低于对照组（P0.05）。 结论 优质护理在椎基底动脉供血不足患者治疗中不仅提高患者对护理工作的满意度，还能显著降低椎-基底动脉供血不足的复发率，改善患者的生活质量。 　　[关键词] 优质护理；椎-基底动脉供血不足；应用效果 　　[中图分类号] R246.6 [文献标识码] A [文章编号] 1674-0742（2015）09（a）-0172-03 　　Effect of High-quality Nursing on Patients with Vertebrobasilar Insufficiency 　　WANG Juan， AI Shao-jun， WANG Xiu-yan， ZHOU Ming， ZHANG Wei 　　Xinyi Peoples Hospital， Xinyi， Jiangsu Province， 221400 China 　　[Abstract] Objective To investigate the clinical application effect of high-quality nursing on patients with vertebrobasilar insufficiency. Methods 80 cases with vertebrobasilar insufficiency admitted in our hospital from January 2013 to August 2014 were randomly divided into the observation group and the control group with 40 cases in each. Both groups were given the conventional nursing， and the observation group was additionally given high-quality nursing. Results Increased the rate of recovery of patients， and greatly reduced the chance of relapse. The overall response rate was much higher in the observation group than that in the control group（97.50% vs 75.00%）， P0.05. The recurrence rate was much lower in the observation group than that in the control group， P0.05. Conclusion For patients with vertebrobasilar insufficiency， high-quality nursing can improve the patient satisfaction with nursing work， reduce the recurrence rate of vertebrobasilar insufficiency significantly as well as increase the quality of life. 　　[Key words] High-quality nursing； Vertebrobasilar insufficiency； Application effect 　　优质护理与常规的护理相比会，其最大的优点在于以患者为护理中心，而非疾病本身，是一种综合性较强的临床护理模式，注重基础护理的加强与护理责任的落实方面[1]。椎-基底动脉供血不足：是神经内科常见的疾病，是指椎-基底动脉系统缺血性血液循环障碍引起的临床症候群[2]。虽多见于中老年人，但实际上遍布了从青少年到老年的各个年龄段，常由于颈椎的生理曲度变化、强直、骨质增生、椎间盘突出、椎体脱位等疾患、椎动脉的粥样硬化及血管本身解剖异常等情况引起。由于小脑及脑干依靠椎-基底动脉的供血，当椎-基动脉发生病变时，脑部血流不畅，供血不足，从而出现眩晕等症状。