高血压脑出血70例急性期与康复期护理干预

Nursing Interventions of 70 Cases with Hypertension Cerebral Hemorrhage in Acute and Rehabilitation Stage

目的探讨高血压脑出血急性期与康复期护理效果。方法CT明确出血部位及出血量后,需手术者行开颅手术。结果70例均为发病后6h内急诊手术,其中,基底节区出血31例,小脑出血10例,丘脑出血5例,单纯脑室内出血11例,混合型出血6例,脑皮层下出血7例;行急性期和康复期护理干预。出院时完全治愈33例,遗留轻偏瘫、生活尚能自理者28例;重残5例;持续植物状态3例;死亡1例。结论高血压脑出血患者综合护理干预能直接影响患者远期效果和生活质量。

Objective To explore the nursing effect of acute and rehabilitation in 70 cases with hypertension cerebral hemorrhage. Methods The Patients were operated by craniotomy after bleeding spot and bleeding volume confirmed by CT. Results 70 cases within 6h were operated by emergency surgery, of which 31 cases with basal ganglia hemorrhage, cerebellum bleeding in 10 cases, thalamus hemorrhage 5 cases,simple intraventricular hemorrhage 11 cases, six cases of mixed hemorrhage, cerebral hemorrhage 7 cases; They were unrsed by acute care and rehabilitation interventions. The completely cured 33 patients, the light hemiplegia, take care of themselves in 28 cases; severely disabled five cases, three cases of persistent vegetative state; one case of death. Conclusion The nursing intervention can directly affect patients with long-term effects and quality of life in patients with hypertensive cerebral hemorrhage.