CAJ | 학술논문

目的：探讨脑动脉瘤破裂后患者术前防止再出血的最佳护理方法。方法选取42例脑动脉瘤破裂手术患者，随机分为观察组和对照组各21例，对照组患者实施常规护理，观察组在此基础上给予整体护理，比较两组患者在手术前发生再出血事件的概率及死亡残疾率。结果观察组患者在手术前再出血发生的概率及死亡残疾率明显低于对照组患者发生的概率，比较有差异性，P ＜0.05，有统计学意义。结论针对脑动脉瘤破裂患者在手术前给予最佳的护理方案，可以有效降低患者发生再出血的概率，降低了患者的死亡率和残疾率。
목적：탐토뇌동맥류파렬후환자술전방지재출혈적최가호리방법。방법선취42례뇌동맥류파렬수술환자，수궤분위관찰조화대조조각21례，대조조환자실시상규호리，관찰조재차기출상급여정체호리，비교량조환자재수술전발생재출혈사건적개솔급사망잔질솔。결과관찰조환자재수술전재출혈발생적개솔급사망잔질솔명현저우대조조환자발생적개솔，비교유차이성，P ＜0.05，유통계학의의。결론침대뇌동맥류파렬환자재수술전급여최가적호리방안，가이유효강저환자발생재출혈적개솔，강저료환자적사망솔화잔질솔。
Objective To explore the best nursing to prevent a second bleeding preoperation after the rupture of cerebral aneurysm. Method 42 patients with ruptured cerebral aneurysms were selected, and then divided into control group and observation group with 21 patients respectively, using routine nursing for control group and overall nursing for observation group based on the routine nursing, compared the incidence of a second bleeding as well as death and disability rate before surgery of patients in the two groups. Result The incidence of a second bleeding as well as the death and disability rate of patients in observation group were much lower than that of patients in the control group, P<0.05. Conclusion The incidence of a second bleeding can be effectively reduced by giving the best nursing scheme to patients with ruptured cerebral aneurysms before surgery.