颅内动脉瘤栓塞术后神经功能康复护理时机探究

Effect of Nursing Timing on Neurological Rehabilitation After Embolization in Patients With Intracranial Aneurysms

目的分析颅内动脉瘤栓塞术后神经功能康复护理的干预时机。方法纳入2014年3月—2017年1月本院收治的颅内动脉瘤患者125例为研究对象,所有患者均接受颅内动脉瘤栓塞术治疗,应用改良式rankin量表(MRS)在不同时段评估患者神经功能康复情况,探讨最佳的康复护理干预时机。结果出院时至出院3个月期间,6例患者死亡,MRS评分未有明显变化,存在轻度残疾。出院3个月至出院6个月死亡人数未增加,至出院12个月,死亡人数升至7例,MRS评分降至(0.93±0.09)分,未有残疾。结论栓塞术治疗后3个月内是神经功能延续性康复护理干预的最佳时机,也是解除残疾困扰、改善预后、降低死亡风险的必要措施。

Objective To analyze the intervention time on neurological rehabilitation after embolization in patients with intracranial aneurysms.Methods 125 cases of intracranial aneurysms treated in our hospital from March 2014 to January 2017 were studied.All patients were treated with intracranial aneurysm embolization.The improved rankin scale(MRS)was used to evaluate the rehabilitation of the patients’neurological function at different time periods,and the best time for rehabilitation nursing intervention was discussed.Results During the 3 months after discharge,6 patients died,and the MRS score did not change significantly.The number of deaths did not increase from 3 months to 6 months after discharge.At12 months after discharge,the number of deaths rose to 7,and the MRS score dropped to(0.93±0.09),without disability.Conclusion 3 months after embolization is the best time to intervene in the continuous rehabilitation of nerve function,and it is also a necessary measure to relieve the handicap,improve the prognosis and reduce the risk of death.