高血压脑出血血肿清除术手术室整体护理干预效果剖析.docVIP

高血压脑出血血肿清除术手术室整体护理干预效果剖析 　　[摘要]目的 探?高血压脑出血血肿清除术手术室整体护理干预的效果。方法 选取2014年1月～2015年12月在我院接受血肿清除术治疗的40例高血压脑出血患者作为研究对象，随机分为对照组和实验组，各20例。对照组实施常规护理干预，实验组实施手术室整体护理干预。比较两组的手术时间、格拉斯哥昏迷（GCS）评分、基本生活活动能力（BDAL）评分及并发症发生率。结果 实验组的GCS评分及BADL评分显著高于对照组，手术时间显著短于对照组，差异有统计学意义（P0.01）。实验组的并发症发生率为15%，显著低于对照组的45%，差异有统计学意义（χ2=4.2857，P=0.0384）。结论 对高血压脑出血患者实施血肿清除术时给予手术室整体护理干预可取得显著效果。 　　[关键词]高血压；脑出血；血肿清除术；手术室；整体护理 　　[中图分类号] R743.2 [文献标识码] A [文章编号] 1674-4721（2016）11（a）-0173-03 　　[Abstract]Objective To explore the effect of the whole nursing intervention in the operation room of hematoma evacuation of hypertensive intracerebral hemorrhage.Methods 40 patients with hypertensive cerebral hemorrhage underwent hematoma evacuation in our hospital from January 2014 to December 2015 were selected and randomly divided into the control group and the experimental group，20 cases in each group.The control group was given routine nursing intervention，the experimental group was implemented the whole nursing intervention in the operation room.The operation time，Glasgow coma scale （GCS） score，basic activities of daily living （BDAL） score and the incidence rate of complication in the two groups were compared.Results The GCS score and BADL score of the experimental group was higher than that of the control group，the operation time of the experimental group was shorter than that of the control group，with significant difference （P0.01）.The incidence rate of complications in the experimental group was 15%，which was lower than 45% in the control group，with significant difference （χ2=4.2857，P=0.0384）.Conclusion The whole nursing intervention for patients with hypertensive cerebral hemorrhage in the operation room can achieve significant effect. 　　[Key words]Hypertension；Cerebral hemorrhage；Hematoma evacuation；Operation room；Whole nursing 　　近年来，随着饮食习惯的改变，高血压的发病率呈现逐渐上升趋势[1-3]，本病若不及时控制，易使患者出现其他并发症，如脑出血。高血压脑出血具有起病急、病死率高、致残率高等特点，严重威胁患者的生命安全[4-7]。目前，临床主要对该类患者实施手术治疗，为确保手术效果，在治疗过程中应对患者实施一定的护理干预措施[8-9]。本研究选取我院的高血压脑出血患者作为研究对象，