颅内动脉瘤患者的围术期护理

Perioperative nursing of intracranial aneurysms

目的探讨颅内动脉瘤患者围术期的护理方法。方法将428例颅内动脉瘤夹闭手术患者分为对照组(n=212)和试验组(n=216)。对照组采用神经外科专科护理,试验组在专科护理的基础上加强围术期护理。比较2组护理效果。结果试验组患者术后GCS评分及患者满意度均显著高于对照组(P<0.05或P<0.01)。结论应用围术期护理能够有效提高动脉瘤夹闭手术治疗效果,术前宣教可在一定程度上减少医患纠纷的发生。

Objective To evaluate perioperative nursing of intracranial aneurysms.Methods Four hundred and twenty-eight cases that received microsurgical clipping of cerebral aneurysms were divided into two groups.The control group （n =212） was given routine neurosurgery nursing,and the experiment group （n =216） received perioperative nursing in addition to routine nursing.The nursing effects of the two groups were compared.Results The Glasgow coma score and satisfactoriness of the experiment group （preoperative nursing） was higher than those of the control group.There were statistically significant differences between the two groups （P ＜ 0.05 or P ＜ 0.01）.Conclusion Perioperative nursing on the basis of routine nursing can promote the effect of cerebral aneurysms microsurgical clipping operations.Pre-surgery education may reduce the problems between medical technology and humane spirit.