蛛网膜下腔出血行持续腰大池引流的综合护理效果探讨

Discussion on the Effect of Comprehensive Nursing Intervention in Continued Lumbar Cerebrospinal Fluid Drainage with Subaraclmoid Hemorrhage

目的探讨蛛网膜下腔出血行持续腰大池引流的综合护理效果。方法选取我院2014年1月至2016年12月收治的50例蛛网膜下腔出血行持续腰大池引流患者,随机分为观察组和对照组,各25例。对照组采取常规护理方法 ,观察组采取综合护理方法。比较两组患者的头痛持续时间、血脑脊液消失时间、住院时间、穿刺治疗费用、并发症情况以及神经功能缺损评分。结果观察组的头痛持续时间、血脑脊液消失时间、住院时间均明显短于对照组,穿刺治疗费用明显少于对照组(P均<0.05)。观察组的并发症发生率均明显低于对照组(P<0.05)。治疗后,两组患者的神经功能缺损评分较治疗前明显降低(P<0.05),观察组的神经功能缺损评分明显低于对照组(P<0.05)。结论蛛网膜下腔出血行持续腰大池引流的综合护理效果显著,能够有效地减少并发症的发生,缓解患者的临床症状,改善预后。

Objective To explore the effect of comprehensive nursing intervention in continued lumbar cerebrospinal fluid drainage with subaraclmoid hemorrhage. Methods 50 cases of patients with subaraclmoid hemorrhage undergoing continued lumbar cerebrospinal fluid drainage in our hospital from January 2014 to December 2016 were selected and randomly divided into observation group and control group, with 25 cases in each group. The control group received routine nursing, while the observation group received comprehensive nursing. The headache duration, die-out time of blood-CSF, hospitalization time, puncture treatment expense, complications and neurologic impairment score of patients were compared between two groups. Results The headache duration, die-out time of blood-CSF and hospitalization time of observation group were significantly shorter than those of control group, and the puncture treatment expense was significantly lower than that of control group （all P〈0.05）. The incidence of complications of observation group was significantly lower than that of control group （P 〈0.05）. After treatment, the neurologic impairment scores of two groups were significantly lower than those before treatment （P〈0.05）, and the neurologic impairment score of observation group was significantly lower than that of control group （P〈0.05）. Conclusions Comprehensive nursing intervention in continued lumbar cerebrospinal fluid drainage with subaraclmoid hemorrhage has significant effect, can effectively reduce the complications, relieve patients＇ clinical symptoms and improve their prognosis.