前移护理干预对颅内动脉瘤破裂早期行夹闭术患者预后的影响

Influence of foresight nursing intervention on prognosis of patients with intracranial aneurysm rupture in the early GaBiShu

目的探讨前移护理干预对颅内动脉瘤破裂早期行夹闭术患者预后的影响。方法随机将32例颅内动脉瘤破裂早期手术患者分为干预组和对照组各16例,干预组患者实行围手术期预见性护理干预,对照组实行神经外科常规护理。观察2组患者术后再次出血、脑血管痉挛、消化道出血、电解质紊乱及肺部感染的例数。出院时按格拉斯哥(GCS)标准评价疗效。结果干预组患者再次出血、脑血管痉挛、消化道出血、电解质紊乱及肺部感染发生率明显低于对照组;干预组患者GCS评分与对照组相比明显升高。结论预见性护理干预对颅内动脉瘤破裂早期手术患者的预后及并发症的预防有明显的协同作用,降低了死亡率和致残率,患者预后更好。

Objective To investigate the influence of foresight nursingintervention on the prognosis of patients with intracranial aneurysm rupture inthe early GaBiShu.Methods Thirty-two cases were divided into treatment group and control group randomly.Sixteen cases in treatment group were given perioperative foresight nursing intervention.Sixteen cases in control group were treated with routines of neurosurgery.Cases of bleeding again,the cerebral vasospasm,gastrointestinal bleeding,electrolyte imbalance and lung infection in each group were observed,Glasgow（GCS） standard was applied when discharged.Results The incidences of complications were obviously lower in treatment group than in the control group.According to GCS standard,treatment group hadhigher scores than the control group.Conclusion The foresight nursing intervention on the prognosis of patients with intracranial aneurysm rupture in the early surgery,and the prevention of complications have obvious synergy,which can reduce mortality and morbidity and bring better outcomes to patients with.