手术室标准化优质护理对高血压脑出血血肿清除术效果的影响分析

Analysis of the Effect of Standardized High-quality Nursing in Operating Room on Removal of Hypertensive Cerebral Hemorrhage Hematoma

目的:研究手术室标准化优质护理对高血压脑出血血肿清除术效果的影响。方法:2021年1月至2022年10月蚌埠医学院第二附属医院收治的60例患者进行分组对比分析,分为对照组(30例,常规护理)和观察组(30例,手术室标准化优质护理)。结果:观察组高血压脑出血血肿清除术患者手术后血肿量、周围水肿量低于对照组,对比结果差异显著(P<0.05)。观察组高血压脑出血血肿清除术患者手术后舒张压、收缩压、颅内压水平低于对照组,对比结果差异显著(P<0.05)。观察组高血压脑出血血肿清除术患者手术时间、住院时间低于对照组,对比结果差异显著(P<0.05)。观察组高血压脑出血血肿清除术患者总满意度为93.33%,高于对照组的70.00%,对比结果差异显著(P<0.05)。观察组高血压脑出血血肿清除术患者手术后NIHSS神经功能评分、SAS焦虑心理评分低于对照组(P<0.05)。观察组高血压脑出血血肿清除术患者下肢深静脉血栓、脑疝、颅内感染并发症总发生率为3.33%,低于对照组的16.67%,对比结果差异显著(P<0.05)。结论:手术室标准化优质护理在高血压脑出血血肿清除术中更具推广价值。

Objective:To study the effect of standardized high-quality nursing in the operating room on the removal of hypertensive cerebral hemorrhage hematoma.Methods:60 patients admitted to the Second Affiliated Hospital of Bengbu Medical College from January 2021 to October 2022 were divided into the control group(30 cases,conventional nursing)and the observation group(30 cases,standardized high-quality nursing in operating room)and given comparative analysis.Results:The amount of hematoma and peripheral edema after removal of hypertensive cerebral hemorrhage in the observation group was lower than that in the control group,and the difference was significant(P<0.05).The levels of diastolic blood pressure,systolic blood pressure and intracranial pressure in the observation group were lower than those in the control group after removal of hypertensive cerebral hemorrhage(P<0.05).The operation time and hospital stay of hypertensive cerebral hemorrhage patients in the observation group were lower than those in the control group,and the difference was significant(P<0.05).The total satisfaction of patients with hypertensive cerebral hemorrhage removal was 93.33%in the observation group,which was higher than that in the control group(70.00%),and the difference was significant(P<0.05).The NIHSS neurological function score and SAS anxiety psychological score of hypertensive intracerebral hemorrhage patients in the observation group were lower than those in the control group(P<0.05).The total incidence of lower extremity deep vein thrombosis,cerebral hernia and intracranial infection complications in the observation group was 3.33%,lower than that in the control group(16.67%),and the difference was significant(P<0.05).Conclusion:Standardized high-quality nursing in the operating room is more valuable in the removal of hypertensive cerebral hemorrhage hematoma.