循证护理对高分级动脉瘤性蛛网膜下腔出血行早期手术的预后及并发症影响

Effect of Evidence-based Nursing on Prognosis and Complications of Early Stage Operation for High Grade Aneurysmal Subarachnoid Hemorrhage

目的:探讨循证护理干预对Hunt-Hess高分级动脉瘤性蛛网膜下腔出血(a SAH)早期手术的预后及并发症影响。方法:选择我院2012年1月至2016年12月收治的高分级动脉瘤性蛛网膜下腔出血患者70例为研究对象,随机分为对照组35例、观察组35例,均在早期行手术治疗,对照组行常规护理,观察组行循证护理干预,比较两组患者预后及并发症发生情况,并进行统计学分析。结果:观察组患者治疗效果显著好于对照组,P<0.05;观察组患者GOS评分、VAS评分、大脑中动脉流速(Vm)显著低于对照组,颅内压恢复正常时间、头痛缓解时间也短于对照组,P<0.05;观察组患者脑血管痉挛、脑积水发病率明显低于对照组,P<0.05。结论:Hunt-Hess高分级动脉瘤性蛛网膜下腔出血患者早期手术后,采用循证护理模式可以提高患者治疗效果,预防并发症发生。

Objective： To investigate the effects of evidence-based nursing on prognosis and complications of early stage operation for high grade aneurysmal subarachnoid hemorrhage（ a SAH）. Methods： We selected patients with high grade aneurysmal subarachnoid hemorrhage treated in our hospital as subject investigated,all patients were treated at an early stage. The patients were divided into control group and observation group,the control group received routine nursing care,and the observation group received evidence-based nursing intervention. We compared the prognosis and complications in the two groups. Results： The curative effect of the observation group was better than that of the control group（ P〈0. 05）. The GOS score,VAS score and middle cerebral artery flow velocity（ Vm） of the observation group were significantly lower than those of the control group,the normal time of intracranial pressure recovery and the time of headache relief were shorter than those of the control group（ P〈0. 05）. The incidence of cerebral vasospasm and hydrocephalus in the observation group was significantly lower than that in the control group（ P〈0. 05）. Conclusion： After the early operation of the patients with high grade aneurysmal subarachnoid hemorrhage,the evidence-based nursing mode can improve the curative effect and prevent the complications.