探究重症脑出血患者手术后在ICU的临床救治

Explore the Clinical Treatment of Severe Cerebral Hemorrhage Patients in ICU after Operation

目的在重症监护室探究重症脑出血患者术后的救治。方法研究对象为我院2014年10月至2017年10月接诊的120例患者。选择60例在普通病房治疗的患者为对照组行常规临床救治,另外60例从重症监护室选择常规临床救治联合ICU监管式临床救治,对两组的治疗效果和并发症情况进行对比。结果对两组的临床疗效进行对比,观察组的治疗有效率达到93.33%(56/60),远高于对照组的71.66%(43/60),在恶化情况上,观察组为3.33%(2/60),对照组为11.67%(7/60),观察组占比更低,差异显著(P<0.05)。不良反应发生概率情况上,观察组不良反应率23.33%(14/60)比对照组的83.33%(50/60)更低(P<0.05)。结论重症监护室病房中对重症脑出血术后患者进行监测式临床救治是非常有必要,能够降低患者颅内迟发性出血及病情恶化概率,提高治疗的有效率,且不良反应发生概率更低,值得推广。

Objective To explore the post-operative treatment of patients with severe cerebral hemorrhage in intensive care unit. Methods The subjects were 120 patients from October 2014 to October 2017. Sixty patients treated in the general ward were selected as the control group for routine clinical treatment. Another 60 patients were selected from the intensive care unit for routine clinical treatment combined with ICU supervised clinical treatment. The therapeutic effect and complications of the two groups were compared. Results Comparing the clinical efficacy of the two groups, the effective rate of the observation group was 93.00%(56/60), much higher than that of the control group 71.66%(43/60). In terms of deterioration, the observation group had 3.33%(2/60), while the control group had11.67%(7/60), the observation group had a lower proportion, the difference was significant(P<0.05). The incidence of adverse reactions in the observation group was 23.33%(14/60) lower than 83.33%(50/60) in the control group(P<0.05).Conclusion It is very necessary to monitor the clinical treatment of patients with severe cerebral hemorrhage after operation in intensive care unit. It can reduce the probability of delayed intracranial hemorrhage and deterioration of the condition, improve the efficiency of treatment, and the probability of adverse reactions is lower. It is worth promoting.