临床护理路径在微创血肿清除术治疗高血压脑出血患者中的应用效果

Application effects of clinical nursing pathway on patients with hypertensive cerebral hemorrhage treated by minimally invasive hematoma removal

目的:观察临床护理路径在微创血肿清除术治疗高血压脑出血患者中的应用效果。方法:选取2019年11月至2021年6月该院收治的76例高血压脑出血患者进行前瞻性研究,根据电脑随机盲选法分为对照组和观察组,每组38例。对照组采用常规护理,观察组采用临床护理路径。比较两组护理前后神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分、日常生活活动能力[Barthel指数(BI)]评分、血清炎性因子[白细胞介素-1β(IL-1β)、C反应蛋白(CRP)]水平,以及并发症发生率。结果:护理后,两组NIHSS评分均低于护理前,且观察组低于对照组,两组BI评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组血清IL-1β、CRP水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为5.26%,低于对照组的28.95%,差异有统计学意义(P<0.05)。结论:临床护理路径应用于微创血肿清除术治疗高血压脑出血患者,可降低NIHSS评分、血清炎性因子水平和并发症发生率,提高BI评分,效果优于常规护理。

Objective:To observe application effects of clinical nursing pathway on patients with hypertensive cerebral hemorrhage treated by minimally invasive hematoma removal.Methods:76 patients with hypertensive cerebral hemorrhage admitted to this hospital from November 2019 to June 2021 were selected for the prospective study,and were divided into control group and observation group according to computer random blind selection method,38 cases in each group.The control group received routine nursing,while the observation group received the clinical nursing pathway.The scores of neurological deficits[national institutes of health stroke scale(NIHSS)],the activities of daily living score[Barthel Index(BI)],the serum inflammatory factor levels[interleukin-1β(IL-1β),C-reactive protein(CRP)]],and the incidence of complications were compared between the two groups before and after the nursing.Results:After the nursing,the NIHSS scores of the two groups were lower than those before the nursing,and that of the observation group was lower than that of the control group;the BI scores of the two groups were higher than those before the nursing,and that of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).After the nursing,the levels of serum IL-1βand CRP in the two groups were lower than those before the nursing,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 5.26%,which was lower than 28.95%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The clinical nursing pathway for the patients with hypertensive cerebral hemorrhage treated by minimally invasive hematoma removal can reduce the NIHSS scores,the serum inflammatory factor levels and the incidence of complications,and improve the BI scores.Moreover,it is superior the routine nursing.