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目的研究行栓塞术治疗脑动脉瘤的围术期护理效果。方法 60例行栓塞术治疗的脑动脉瘤患者,根据随机分配原则分为研究组和对照组,每组30例。对照组采用常规护理,研究组采用围术期护理方式,对比两组患者护理满意度,同时观察两组患者护理后术后出血、脑积水、水电解质紊乱和肝功能异常等并发症发生情况。结果经护理后,研究组患者出现术后出血、脑积水、水电解质紊乱和肝功能异常等并发症共6例,对照组患者出现术后出血、脑积水、水电解质紊乱和肝功能异常等并发症共15例,研究组并发症明显少于对照组,差异具有统计学意义(χ~2=5.9341,P=0.0149<0.05)。护理后,研究组满意度为96.67%,对照组满意度为80.00%,研究组患者满意度明显高于对照组,差异具有统计学意义(χ~2=4.0431,P=0.0444<0.05)。结论对行栓塞术治疗的脑动脉瘤患者采取围术期护理,临床效果较好,可减少患者术后并发症的发生率,有效避免护患纠纷,值得推广。
Objective To study the perioperative nursing effect of embolization for cerebral aneurysm. Methods Sixty patients with cerebral aneurysms who underwent embolization were divided into study group and control group according to the principle of random distribution, 30 cases in each group. The control group received routine nursing. The study group adopted perioperative nursing method to compare the two groups of patients’ satisfaction degree of nursing. At the same time, complication of postoperative bleeding, hydrocephalus, water-electrolyte disturbance and abnormal liver function were observed . Results After treatment, there were 6 complications such as postoperative bleeding, hydrocephalus, water and electrolyte disturbance and abnormal liver function in the study group. The patients in the control group had postoperative bleeding, hydrocephalus, water-electrolyte disturbance and abnormal liver function A total of 15 complications were found in the study group. Complication was significantly less in the study group than in the control group (χ ~ 2 = 5.9341, P = 0.0149 <0.05). After nursing, the satisfaction rate of the study group was 96.67%, while that of the control group was 80.00%. The satisfaction of the study group was significantly higher than that of the control group (χ ~ 2 = 4.0431, P = 0.0444 <0.05). Conclusion Perioperative nursing care for patients with cerebral aneurysm treated by embolization is better than others. It can reduce the incidence of postoperative complications and avoid disputes between nurses and patients, which is worthy of promotion.