颅内动脉瘤夹闭术后症状性脑血管痉挛的观察与护理

Observation and nursing of symptomatic cerebral vasospasm of postoperative patients with intracranial aneurysm

目的探讨有效预防颅内动脉瘤夹闭术后症状性脑血管痉挛(CVS)发生的护理方法。方法对128例急诊颅内动脉瘤夹闭术后发生症状性CVS的患者做好有针对性的心理护理、脑池内置管护理和用药护理,密切观察患者病情变化。结果本组有32例发生症状性CVS,经治疗后25例恢复良好,5例中度残疾,2例持续昏迷自动出院。结论颅内动脉瘤夹闭术后针对性护理可以有效预防和减少症状性脑血管痉挛。

Objective To evaluate the effective nursing methods for preventing symptomatic cerebral vasospasm（CVS） after surgical clipping of intracranial aneurysms.Methods The key points of observation and nursing of CVS in 128 patients after surgical clipping of intracranial aneurysms were summarized.Early observation was carried out in 128 patients after the craniotomy and clipping surgery of intracranial aneurysms,coupled with targeted psychological nursing intervention,cisternal catheter and medical care so as to prevent CVS.At the same time close observation was carried out on patient＇s condition and complications.Results Symptomatic cerebral vasospasm occurred in 32 patients,among which 25 cases recovered well,5 cases had moderate disability,and 2 cases were discharged from the hospital without cure of persistent coma.Conclusion Targeted psychological nursing could prevent and decrease the symptomatic CVS after surgical clipping of intracranial aneurysms effectively.