中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
29期
185-188
,共4页
基底核区脑出血%血肿清除术%综合护理干预
基底覈區腦齣血%血腫清除術%綜閤護理榦預
기저핵구뇌출혈%혈종청제술%종합호리간예
Basal ganglia intracerebral hemorrhage%Hematoma removal%Comprehensive nursing intervention
目的：研究综合护理干预在基底核区脑出血血肿清除术中的应用效果。方法选择2013年5月~2014年7月我院收治的108例基底核区脑出血患者，按照入院顺序将其分为观察组(54例)和对照组(54例)。两组患者均实施常规护理干预措施，观察组在此基础上进行综合护理干预措施。观察两组术后并发症情况，并评价患者对护理工作的满意度。比较两组患者术前、术后2个月的神经功能评分和Barthel指数。结果术后，除了压疮并发症，观察组患者的肾功能不全(11.11%)、电解质紊乱(18.52%)、中枢性高热(14.81%)、肺部功能感染(16.67%)、应激性溃疡(7.41%)、多脏器功能不全(9.26%)等并发症发生率显著低于对照组，差异有统计学意义(P<0.05)。观察组的护理总满意度为92.59%，显著高于对照组的66.67%(P<0.05)。手术前，两组患者的格拉斯哥昏迷评分(GCS)和Barthel指数量表(BI)评分差异无统计学意义(P>0.05)；手术后，观察组患者的GCS评分和BI评分分别为(12.79±3.02)和(69.35±12.56)分，显著高于对照组的(8.31±1.51)和(57.47±10.35)分，差异有统计学意义(P<0.05)。结论基底核区脑出血血肿清除术中应用综合护理干预，可以提高患者的满意度，减少术后并发症，还能明显改善患者的神经功能和日常生活能力，其效果良好，值得推广应用。
目的：研究綜閤護理榦預在基底覈區腦齣血血腫清除術中的應用效果。方法選擇2013年5月~2014年7月我院收治的108例基底覈區腦齣血患者，按照入院順序將其分為觀察組(54例)和對照組(54例)。兩組患者均實施常規護理榦預措施，觀察組在此基礎上進行綜閤護理榦預措施。觀察兩組術後併髮癥情況，併評價患者對護理工作的滿意度。比較兩組患者術前、術後2箇月的神經功能評分和Barthel指數。結果術後，除瞭壓瘡併髮癥，觀察組患者的腎功能不全(11.11%)、電解質紊亂(18.52%)、中樞性高熱(14.81%)、肺部功能感染(16.67%)、應激性潰瘍(7.41%)、多髒器功能不全(9.26%)等併髮癥髮生率顯著低于對照組，差異有統計學意義(P<0.05)。觀察組的護理總滿意度為92.59%，顯著高于對照組的66.67%(P<0.05)。手術前，兩組患者的格拉斯哥昏迷評分(GCS)和Barthel指數量錶(BI)評分差異無統計學意義(P>0.05)；手術後，觀察組患者的GCS評分和BI評分分彆為(12.79±3.02)和(69.35±12.56)分，顯著高于對照組的(8.31±1.51)和(57.47±10.35)分，差異有統計學意義(P<0.05)。結論基底覈區腦齣血血腫清除術中應用綜閤護理榦預，可以提高患者的滿意度，減少術後併髮癥，還能明顯改善患者的神經功能和日常生活能力，其效果良好，值得推廣應用。
목적：연구종합호리간예재기저핵구뇌출혈혈종청제술중적응용효과。방법선택2013년5월~2014년7월아원수치적108례기저핵구뇌출혈환자，안조입원순서장기분위관찰조(54례)화대조조(54례)。량조환자균실시상규호리간예조시，관찰조재차기출상진행종합호리간예조시。관찰량조술후병발증정황，병평개환자대호리공작적만의도。비교량조환자술전、술후2개월적신경공능평분화Barthel지수。결과술후，제료압창병발증，관찰조환자적신공능불전(11.11%)、전해질문란(18.52%)、중추성고열(14.81%)、폐부공능감염(16.67%)、응격성궤양(7.41%)、다장기공능불전(9.26%)등병발증발생솔현저저우대조조，차이유통계학의의(P<0.05)。관찰조적호리총만의도위92.59%，현저고우대조조적66.67%(P<0.05)。수술전，량조환자적격랍사가혼미평분(GCS)화Barthel지수량표(BI)평분차이무통계학의의(P>0.05)；수술후，관찰조환자적GCS평분화BI평분분별위(12.79±3.02)화(69.35±12.56)분，현저고우대조조적(8.31±1.51)화(57.47±10.35)분，차이유통계학의의(P<0.05)。결론기저핵구뇌출혈혈종청제술중응용종합호리간예，가이제고환자적만의도，감소술후병발증，환능명현개선환자적신경공능화일상생활능력，기효과량호，치득추엄응용。
Objective To study the application effect of comprehensive nursing intervention in hematoma removal of basal ganglia intracerebral hemorrhage. Methods 108 patients with basal ganglia intracerebral hemorrhage in our hospi-tal from May 2013 to July 2014 were selected.According to the order of admission all patients were divided into obser-vation group (54 cases) and control group (54 cases).Two groups were implemented routine care interventions,the obser-vation group was given integrated care interventions on the basis of routine care interventions.Postoperative complica-tions and nursing satisfaction in two groupswas compared,and neurological score,Barthel index in two groups were com-pared before and after surgery. Results After surgery,aside from complications of bedsore, renal insufficiency (11.11%), electrolyte imbalance (18.52%),central heat (14.81%),pulmonary function infection (16.67%),stress ulceration (7.41%), multiple organ dysfunction (9.26%) in observation group was significantly lower than those of control group,the differ-ences were statistically significant(P<0.05).Nursing total satisfaction in observation group was 92.59%,which was signif-icantly higher than 66.67% of control group (P <0.05).Before the surgery,there were no significant differences of two groups in the Glasgow coma score (GCS) and Barthel index (BI) (P>0.05).After surgery,the GCS and BI in observation group were respectively (12.79±3.02) and (69.35±12.56) point,which were significantly higher than those of control group[(8.31±1.51) and (57.47±10.35) point],the differences were statistically significant(P<0.05). Conclusion The basal ganglia hematoma application dissection of comprehensive nursing intervention,can improve patients, satisfaction and decrease postoperative complications,can significantly improve neurological function and activities of daily living in pa-tients,the effect is good.It is worth popularization and application.
