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目的研究高血压脑出血患者在采用小骨窗开颅血肿清除术治疗的围手术期接受综合护理干预的临床效果。方法 84例高血压脑出血患者,随机分为对照组和观察组,每组42例。两组患者均采用小骨窗开颅血肿清除术进行治疗,对照组在围手术期实施常规脑外科护理;观察组在围手术期实施综合护理干预。比较两组患者手术操作时间和术后恢复治疗时间、围手术期并发症例数、对高血压脑出血小骨窗开颅血肿清除术治疗围手术期护理的满意度。结果观察组患者手术操作时间和术后恢复治疗时间分别为(87.39±10.36)min、(9.87±1.59)d,均明显短于对照组的(158.20±23.14)min、(13.42±3.26)d,差异均具有统计学意义(P<0.05)。观察组患者围手术期仅有2例并发症出现,少于对照组的10例,差异具有统计学意义(P<0.05)。观察组患者对高血压脑出血小骨窗开颅血肿清除术治疗围手术期护理的满意度为95.2%,高于对照组的78.6%,差异具有统计学意义(P<0.05)。结论高血压脑出血患者在采用小骨窗开颅血肿清除术治疗的围手术期接受综合护理干预,可以有效防止术后出现各类并发症,缩短治疗时间。
Objective To study the clinical effect of comprehensive nursing intervention during perioperative period in hypertensive intracerebral hemorrhage patients treated with small craniotomy hematoma removal. Methods 84 patients with hypertensive cerebral hemorrhage were randomly divided into control group and observation group, 42 cases in each group. Two groups of patients were treated with small bone window craniotomy hematoma removal, the control group in the perioperative implementation of routine brain surgery care; observation group in the perioperative implementation of comprehensive nursing intervention. The duration of operation and postoperative recovery and treatment, the number of perioperative complications and the satisfaction of perioperative nursing for hypertensive intracerebral hemorrhage with small craniotomy were compared. Results The operation time and postoperative recovery time in the observation group were (87.39 ± 10.36) min and (9.87 ± 1.59) d, respectively, which were significantly shorter than those in the control group (158.20 ± 23.14) and (13.42 ± 3.26) d, respectively The differences were statistically significant (P <0.05). There were only 2 complications during the perioperative period in the observation group, which was less than 10 cases in the control group. The difference was statistically significant (P <0.05). The satisfaction rate of patients in observation group for perioperative nursing care of hypertensive intracerebral hemorrhage with small craniotomy was 95.2%, which was higher than that of control group (78.6%), the difference was statistically significant (P <0.05). Conclusions Patients with hypertensive intracerebral hemorrhage receiving comprehensive nursing intervention during perioperative period with small bone window craniotomy can effectively prevent postoperative complications and shorten the treatment time.