改良去骨瓣减压术治疗大面积脑梗死的效果及术后护理措施

The Effect of Modified Decompressive Craniectomy in the Treatment of Massive Cerebral Infarction and Postoperative Nursing Measures

目的:总结改良去骨瓣减压术治疗大面积脑梗死患者的效果及术后的护理措施。方法:回顾分析笔者所在科室2011年1月-2015年6月97例大面积脑梗死患者资料,均采用改良去骨瓣减压术治疗,术后均给予病情观察、体位护理、营养支持、切口护理、心理指导及康复训练等护理措施。随访3个月~2年,观察治疗及护理效果。结果:97例患者经过手术治疗及一系列护理措施后,预后良好65例,预后不良23例,死亡9例,存活率为90.72%。结论:通过改良去骨瓣减压术及术后的精心护理,可使大面积脑梗死患者的病情得到有效控制,患者的存活率较高,致残率较低,预后良好。

Objective: To summarize the effect of modified decompressive craniectomy in the treatment of patients with massive cerebral infarction and the postoperative nursing measures. Method: Retrospective analysis the data of of 97 patients with massive cerebral infarction in the department of the author from January 2011 to June 2015. All patients were treated with modified decompressive craniectomy, and after the operation, the patients were given nursing measures such as observation, position nursing, nutrition support, incision nursing, psychological guidance and rehabilitation training. The patients were followed up for 3 months to 2 years to observe the treatment and nursing effects. Result: Ninety-seven patients underwent surgical treatment and a series of nursing measures, 65 cases had a good prognosis, 23 cases had a poor prognosis and 9 cases died, and the survival rate was 90.72%. Conclusion: Through modified decompressive craniectomy and postoperative nursing, the disease of patients with massive cerebral infarction can be effectively controlled, the survival rate of patients is higher, the disability rate is lower, the prognosis is good.