高血压脑出血微创穿刺引流术综合护理剖析.docVIP

高血压脑出血微创穿刺引流术综合护理剖析 　　[摘要] 目的 探讨高血压脑出血微创穿刺引流术的护理方法，并观察护理效果。方法 随机选取2013年8月―2015年8月期间在该院接收治疗的120例高血压脑出血患者，所有患者均行微创穿刺引流术，将其采用双盲随机原则分为观察组和对照组各60例，观察组给予综合护理干预，对照组给予常规护理，观察对比两组患者护理效果及术后并发症发生情况。 结果 观察组总有效率为85.0%，明显高于对照组60.0%，术后并发症发生率为6.7%，显著低于对照组23.3%，P0.05，差异有统计学意义。结论 在采用微创穿刺引流术治疗高血压脑出血时，采取积极的护理干预措施，可有效提高患者生存质量，其护理具有非常重要的意义，值得推广。 　　[关键词] 高血压；脑出血；微创穿刺引流术；护理 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2016）10（c）-0162-03 　　[Abstract] Objective To investigate the nursing method of minimally invasive puncture and drainage for hypertensive cerebral hemorrhage， and to observe the effect of nursing. Methods Random selection a total of August 2013 to August 2015 period in our hospital to receive treatment of 120 cases of hypertensive cerebral hemorrhage patients， all patients underwent minimally invasive puncture drainage， the principle of random double-blind divided into observation group and control group， 60 cases in each. The observation group given comprehensive nursing intervention， the control group was given routine nursing， the observation of compared two groups of patients with nursing effect and surgical complications. Results The total effective rate of the observation group was 85.0%， significantly higher than the control group 60.0%， the incidence of postoperative complications was 6.7%， significantly lower than the control group 23.3%， P0.05， the difference was statistically significant. Conclusion The use of minimally invasive puncture drainage in the treatment of hypertensive cerebral hemorrhage， take active nursing intervention measures， can effectively improve the quality of life of patients， and its nursing has a very important significance， it is worth promoting. 　　[Key words] High blood pressure； Cerebral hemorrhage； Minimally invasive puncture and drainage； Nursing 　　高血压脑出血是神经外科中的一种常见疾病，指临床上有高血压引发的脑实质内血管原发性出血现象，高血压脑出血的发病人群多集中在中老年患者中，近几年来趋于年轻化[1]。随着我国微创技术的不断发展，微创穿刺引流术、内窥镜血肿清除术等先进技术在临床上得到了广泛的应用，取得了良好的效果，但目前我国在高血压脑出血术后护理方面的进展仍落后于国外水平，护理方面仍缺少丰富的临床经验，该文以该院201