手术室整体护理干预在高血压脑出血血肿清除术中的应用效果

Application Effect of Holistic Nursing Intervention in Operating Room in Hematoma Removal Surgery for Hypertensive Cerebral Hemorrhage

目的:分析手术室整体护理干预在高血压脑出血血肿清除术中的应用效果。方法:选取2021年1月—2023年1月滨州医学院附属医院收治的拟行血肿清除术治疗的高血压脑出血患者179例为研究对象,采用随机数字表法分为对照组(89例)和观察组(90例)。对照组采用手术室常规护理,观察组采用手术室整体护理。比较两组颅内压、美国国立卫生研究院卒中量表(NIHSS)评分、并发症发生率及血压水平。结果:护理前,两组颅内压及NIHSS评分比较,差异无统计学意义(P>0.05);护理后,两组颅内压、NIHSS评分降低,观察组低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P=0.026)。护理前,两组收缩压(SBP)、舒张压(DBP)水平比较,差异无统计学意义(P>0.05);护理后,两组SBP、DBP水平降低,观察组低于对照组,差异有统计学意义(P<0.05)。结论:手术室整体护理干预在高血压脑出血血肿清除术中的应用效果较好,有助于控制患者的血压水平,降低颅内压,改善神经功能,减少术后并发症。

Objective:To analyze the application effect of holistic nursing intervention in the operating room in hematoma removal surgery for hypertensive cerebral hemorrhage.Methods:A total of 179 patients with hypertensive cerebral hemorrhage who were admitted to the Affiliated Hospital of Binzhou Medical College from January 2021 to January 2023 and were scheduled to undergo hematoma evacuation were selected as the research subjects.The patients were divided into a control group(89 cases)and an observation group(90 cases)using the random number table method.The control group received routine nursing in the operating room,and the observation group received overall nursing in the operating room.The intracranial pressure,National Institutes of Health Stroke Scale(NIHSS)score,complication rate and blood pressure levels were compared between the two groups.Results:Before nursing,there was no statistically significant difference in intracranial pressure and NIHSS scores between the two groups(P>0.05);after nursing,the intracranial pressure and NIHSS scores of the two groups were reduced,and the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complicationsintheobservationgroupwaslowerthanthatinthecontrolgroup,andthedifferencewasstatisticallysignificant(P=0.026).Before nursing,there was no statistically significant difference in the systolic blood pressure(SBP)and diastolic blood pressure(DBP)levels between the two groups(P>0.05);after nursing,the levels of SBP and DBP in the two groups were reduced,and the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Holistic nursing intervention in the operating room has a good effect in hematoma removal surgery for hypertensive cerebral hemorrhage.It helps to control the patient's blood pressure level,reduce intracranial pressure,improve neurological function,and reduce postoperative complications.