颅内压监测在老年高血压脑出血患者救治中的应用价值分析

Analysis of the Application Value of Intracranial Pressure Monitoring in the Treatment of Elderly Patients with Hypertensive Cerebral Hemorrhage

目的:针对老年高血压脑出血患者救治过程中,采用颅内压监测,分析其运用价值。方法:选择2020年1月至2021年1月至我院治疗的高血压脑出血患者200例为研究对象,根据病例的详细资料,将本次研究对象分成各100例的对照组、观察组。对照组手术后采用的常规式的护理干预措施,观察组手术后行颅内压监测患者。对比两组患者的治疗有效率、并发症发生率、护理的满意度。结果:观察组、对照组的治疗有效率分别为98%、84%,观察组优于对照组。两两相比,P 【0.05,差异具有统计学意义。通过治疗后,对患者发生的并发症情况进行分析。对照组发生神经源性水肿、消化道出血、肺部感染、癫痫、血管性痴呆分别为5、12、6、0、8、8例;观察组发生神经源性水肿、消化道出血、肺部感染、癫痫、血管性痴呆分别为2、6、1、0、4、2例。对照组并发症发生率为33%,观察组并发症发生率为15%,两组相比,P 【0.05,差异具有统计学意义。对照组患者对护理的满意、一般、不满意分别为42、30、28例;观察组患者对护理的满意、一般、不满意分别为62、24、4例;对照组对护理的总满意率为72%、观察组为96%,两组对比,总满意率明显是观察组优于对照组,P 【0.05,差异具有统计学意义。结论:老年高血压脑出血突发性非常强,而且病情往往比较重,行手术治疗后对患者持续性做好颅内监测工作,及时根据压力变化做好病情的判断,给予相应最佳的治疗方案,可有效并发症发生,对患者病情的稳定起到十分重要的作用,可有效防止二次出血并提升患者及家属提升对护理的满意度。

Objective: To analyze the application value of intracranial pressure monitoring in the treatment of elderly patients with hypertensive cerebral hemorrhage. Methods: 200 patients with hypertensive intracerebral hemorrhage treated in our hospital from January 2020 to January 2021 were selected as the research objects. According to the detailed information of the cases, the research objects were divided into control group and observation group with 100 cases in each group. The control group was given routine nursing intervention after operation, and the observation group was given intracranial pressure monitoring after operation. The treatment efficiency, complication rate and nursing satisfaction of the two patients were compared. Results: The effective rates of the observation group and the control group were 98% and 84% respectively, and the observation group was better than the control group. Pairwise comparison, P <0.05, the difference was statistically significant. After treatment, the complications of patients were analyzed. There were 5, 12, 6, 0, 8 and 8 cases of neurogenic edema, gastrointestinal bleeding, pulmonary infection, epilepsy and vascular dementia in the control group, and 2, 6, 1, 0, 4 and 2 cases of neurogenic edema, gastrointestinal bleeding, pulmonary infection, epilepsy and vascular dementia in the observation group. The control group complication rate was 33%, the observation group complication rate was 15%, compared with the two groups, P <0.05, the difference was statistically significant. The control group of patients with nursing satisfaction, general, dissatisfaction were 42, 30, 28 cases;the observation group of patients with nursing satisfaction, general, dissatisfaction were 62, 24, 4 cases;the control group of nursing satisfaction rate was 72%, the observation group was 96%, the two groups compared, the total satisfaction rate was significantly better than the control group, P <0.05, the difference was statistically significant. Conclusion: Elderly hypertensive intracerebral hemorrhage is very sudden, and the condition is often serious. After surgical treatment, continuous intracranial monitoring of patients, timely judgment of the condition according to the pressure change, and corresponding best treatment plan can effectively prevent complications, play a very important role in the stability of the patient’s condition, and effectively prevent secondary hemorrhage and improve the quality of life of patients Family members to improve the satisfaction of nursing.