小骨窗开颅术治疗高血压脑出血的疗效观察及护理

Effect observation and nursing of small bone window craniotomy in hypertensive intracerebral hemorrhage

目的探讨小骨窗开颅术治疗高血压脑出血的临床效果及相应的护理措施。方法对49例高血压脑出血患者采用小骨窗开颅术治疗。采用日常生活活动能力量表(ADL)评定患者恢复情况。结果术后半年随访,ADL分级Ⅰ级14例(28.6%),Ⅱ级21例(42.9%),Ⅲ级4例(8.2%),Ⅳ级5例(10.2%),Ⅴ级1例(2.0%),Ⅵ级4例(8.2%)。结论小骨窗开颅术辅以一系列护理措施能有效清除血肿,改善高血压脑出血患者的日常生活能力。

Objective To observe the effect of small bone window craniotomy in hypertensive intracerebral hemorrhage and its nursing intervention measures.Methods 49 cases patients with hypertensive intracerebral hemorrhage were treated with small bone window craniotomy.Used activity of daily living（ADL）to evaluate therapeutic effect.Results After a half year＇s follow-up,ADL grade Ⅰ 14 cases（28.6%）,gradeⅡ 21 cases（42.9%）,grade Ⅲ 4 cases（8.2%）,grade Ⅳ 5 cases（10.2%）,grade Ⅴ 1 cases（2.0%）,grade Ⅵ 4 cases（8.2%）.Conclusion Small bone window craniotomy combined with nursing intervention can effectively clean hematoma,improve the ADL of cases with hypertensive intracerebral hemorrhage.