高血压脑出血合并脑疝患者的急救措施和围手术期护理措施及效果分析

Analysis of the Emergency Measures,Perioperative Nursing Measures and Effect of Patients with Hypertensive Cerebral Hemorrhage Complicated with Cerebral Hernia

目的:探讨优质急救和围术期护理的实施方案及在高血压性脑出血(HICH)临床救护中的应用价值。方法:将某院2019年1月~2020年12月期间收治的80例HICH合并脑疝患者随机分为C组和Y组各40例,分别实施常规急救和围术期护理、优质急救和围术期护理,对比两组患者的预后和并发症的发生率。结果:Y组预后良好率为82.50%,高于C组的60%(P<0.05);Y组共15%的患者发生并发症,低于C组的35%(P<0.05)。结论:优质急救和围术期护理通过救护质量的提高和救护方案的完善,能有效降低患者并发症的发生率,提高预后良好率。

Objective:To explore the implementation plan of high quality first aid and perioperative nursing and its application value in clinical rescue of hypertensive cerebral hemorrhage(HICH).Methods:80 patients with HICH complicated with cerebral hernia admitted to a hospital from January 2019 to December 2020 were randomly divided into group C(n=40)and group Y(n=40),who received routine first aid and perioperative nursing,high quality first aid and perioperative nursing,respectively.The prognosis and the incidence of complications were compared between the two groups.Results:The rate of good prognosis in group Y was 82.50%,which was higher than that in group C(60%,P<0.05).A total of 15%of patients in group Y had complications,which was lower than 35%in group C(P<0.05).Conclusion:The improvement of high quality first aid and perioperative nursing can effectively reduce the incidence of complications and improve the rate of good prognosis.