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目的:分析颅内动脉瘤患者临床情况,总结该病围手术期护理经验。方法:对70例颅内动脉瘤患者进行Hunt-Hess分级,用数字减影血管造影技术(Digitalsubtraction angiography,DSA)检查确定病变部位,分析患者转归情况,对患者进行术前、术后监测、管道、康复等护理。结果:①Hunt-Hess分级评分:1级8例,2级28例,3级24例,4级10例。②DSA检查,颈内动脉瘤14例,大脑中动脉瘤22例,前交通动脉瘤16例,后交通动脉瘤18例。③病人治愈(48.6%)或病情好转(34.4%),因肺部感染和颅内血肿死亡各2例。④心理护理前后患者焦虑恐惧心理得到显著的缓解;患者对护理方法的满意度达98.6%。结论:加强围手术期护理特别是心理护理有助于提高手术的成功率。
Objective: To analyze the clinical situation of patients with intracranial aneurysms and summarize the perioperative nursing experience. Methods: Seventy patients with intracranial aneurysm were enrolled in the Hunt-Hess classification. Digitalsubtraction angiography (DSA) was used to determine the lesion location. The patient’s prognosis was analyzed. Preoperative and postoperative monitoring were performed. Pipeline, rehabilitation and other care. Results: ① Hunt-Hess grading: 8 cases of grade 1, 2 cases of 28 cases, 3 cases of 24 cases, 4 cases of 10 cases. ② DSA examination, 14 cases of internal carotid aneurysm, 22 cases of middle cerebral artery aneurysm, 16 cases of anterior communicating artery aneurysm and 18 cases of posterior communicating aneurysm. ③ patients cured (48.6%) or condition improved (34.4%), due to pulmonary infection and intracranial hematoma death in 2 cases. ④ Psychological care before and after anxiety and anxiety were significantly relieved; patient satisfaction with nursing methods up to 98.6%. Conclusion: Strengthening perioperative nursing, especially psychological nursing, can help improve the success rate of surgery.