脑出血患者微创锥颅血肿清除术后综合护理干预的应用分析

Application of Comprehensive Nursing Intervention in Cerebral Hemorrhage Patients After Microinvasive Evacuation of Hematoma

目的探讨脑出血患者微创锥颅血肿清除术后综合护理干预的应用效果。方法将98例于我院行微创锥颅血肿清除术的脑出血患者随机分为研究组与对照组,每组各49例。对照组患者给予术后常规护理,研究组患者在此基础上给予综合护理干预。分析比较两组患者术后神经功能状态、运动功能状况、心理状况及并发症发生情况。结果研究组患者格拉斯哥昏迷评分(GCS)、Fugl-Meyer运动功能评分(FMA)、抑郁自评量表(SDS)与焦虑自评量表(SAS)评分均明显优于对照组,差异均有统计学意义(P<0.05)。研究组术后各项并发症发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论综合护理干预能够明显促进脑出血患者微创锥颅血肿清除术后神经功能的恢复,改善患者运动功能及心理状况,减少术后并发症的发生率。

Objective To explore the application effect of comprehensive nursing intervention in cerebral hemorrhage patients after microinvasive evacuation of hematoma. Methods 98 cerebral hemorrhage patients treated with microinvasive evacuation of hematoma in our hospital were selected and randomly divided into study group and control group, with 49 cases in each group. The control group was given postoperative routine nursing, the study group was given comprehensive nursing intervention on this basis. The conditions of neurological function, motor function, psychology and complications of two groups were compared. Results The scores of GCS, FMA,SDS, SAS in study group were significantly better than those of control group, with statistical difference（P〈0.05）. The incidence of complications of study group was lower than that of control group, with statistical difference（P〈0.05）. Conclusions Comprehensive nursing intervention can obviously promote the recovery of neurological function of cerebral hemorrhage patients after microinvasive evacuation of hematoma, improve patients＇ motor function and psychology, reduce the incidence of complications.