动脉瘤破裂是自发性蛛网膜下腔出血的最主要病因,而开颅显微镜下动脉瘤夹闭术是目前处理颅内动脉瘤的标准方法,已经广泛应用在临床上。开颅动脉瘤夹闭术的围手术期护理是十分重要的环节,本文总结叙述了在患者围手术期的护理重点和近年的护理进展,术前应使患者的情绪保持稳定,密切观察患者的生命体征,保证患者的休息和营养的摄入避免各种刺激,还要加强基础护理。术后,除一般术后护理外,还应在并发症高发期时密切观察病情变化,采取各种有效的预防措施,并向家属宣教相关知识,以取得患者及家属的积极配合。良好的围手术期护理可缩短患者住院时间,减少术后并发症发生,促进康复。 Aneurysm rupture is the most important cause of spontaneous subarachnoid hemorrhage. Aneurysm occlusion under craniotomy is the standard method for the treatment of intracranial aneurysms. It has been widely used clinically. Perioperative nursing of craniotomy aneurysm clipping is a very important step. This article summarizes the key points of nursing during perioperative period and the progress of nursing in recent years. Preoperative patients ’emotions should be kept stable and the patients’ Vital signs, to ensure that patients with rest and nutrition intake to avoid various stimuli, but also to strengthen basic care. After surgery, in addition to the general postoperative care, the condition should be closely observed during the high incidence of complications and various effective preventive measures should be taken to educate the families of relevant knowledge so as to obtain the active cooperation between the patients and their families. Good perioperative care can shorten the hospital stay, reduce postoperative complications and promote rehabilitation.