综合护理干预对神经外科去骨瓣减压患者的影响

The Effect of Comprehensive Nursing Intervention on Patients with Neurosurgery Decompression

目的观察综合护理干预对神经外科去骨瓣减压患者的影响。方法本研究的对象是在锦州市中心医院神经外科进行治疗的高血压脑出血患者,选取时间为2018年6月至2020年12月,其中96例采取去骨瓣减压术的手术治疗方式,将这些患者随机分为两组,48例采取常规护理作为对照组,48例采取综合护理干预作为观察组。对比护理效果。结果经过护理后,观察组发生脑疝、管路堵塞、肺内感染、持续颅内高压等不良事件发生率分别为6.25%、0、2.08%、4.17%,而对照组发生率分别达到16.67%、4.17%、8.33%、10.41%,两组比较,统计学存在差异(P<0.05)。结论对神经外科去骨瓣减压的患者采取综合护理干预措施,可以有效的降低患者术后脑疝、管路堵塞、肺内感染、持续颅高压等不良事件的发生率,改善了术后患者的预后和转归。

Objective To observe the effect of comprehensive nursing intervention on patients with neurosurgery decompressive craniectomy.Methods The object of this study was selected patients with hypertensive cerebral hemorrhage who were treated in the department of neurosurgery of Jinzhou Central Hospital from June 2018 to December 2020.Among them,96 cases were treated with decompressive craniectomy.These patients were randomly divided into two groups.48 cases were treated with routine care as the control group,and 48 cases were treated with comprehensive nursing intervention as the observation group.Compare nursing effects.Results After nursing,the incidence of adverse events such as brain herniation,pipeline blockage,pulmonary infection,and persistent intracranial hypertension in the observation group were 6.25%,0,2.08%,and 4.17%,respectively,while the incidence in the control group reached 16.67%,4.17%,8.33% and 10.41%,there is a statistical difference between the two groups(P<0.05).Conclusions Comprehensive nursing intervention measures for patients undergoing neurosurgery decompressive craniectomy can effectively reduce the incidence of postoperative brain herniation,pipeline blockage,intrapulmonary infection,persistent intracranial hypertension and other adverse events,and improve postoperative patients'prognosis and outcome.