针对性护理在颅内动脉瘤围手术期的临床效果

摘要

目的 探讨针对性护理在川弓嗪治疗基础上颅内动脉瘤介入围手术期中对预防和改善脑血管痉挛(CVS)的临床效果.方法 抽取2014年1月至2017年6月收治的颅内动脉瘤患者,随机分组,对照组实施常规护理干预,观察组采取针对性护理干预,治疗上均利用川弓嗪进行围手术期预防处理,对比两组的临床效果.结果 共56个患者纳入研究,其中对照组28例,观察组28例.大部分患者恢复良好,顺利康复出院.通过对比,观察组CVS发病率3.57%,明显低于对照组28.57%,差异具有统计学意义(P<0.05).结论 在川弓嗪预防处理基础上,针对性护理可进一步降低颅内动脉瘤破裂性蛛网膜下腔出血患者介入围手术期的CVS发生率,是促进患者早日康复、降低病死率的重要环节之一.%Objective To assess the clinical effects of individual nursing in the prevention of cerebral va-sospasm(CVS)in perioperative intracranial aneurysm intervention based on the therapy use of ligustrazine. Meth-ods Patients who suffered intracranial aneurysm from January 2014 to June 2017 in our hospital were divided into two groups randomly.Normal nursing was applied in the control group,while individual nursing was used for the ex-perimental group. Ligustrazine was used in both groups. Results A total of 56 patients were included in this re-search,28 for the control group,and 28 for the other group.Most patients recovered well and discharged regularly. The incidence rate of CVS in the experimental group(3.57%)was significant lower than that in the control group (28.57%)(P<0.05).Conclusions Based on the fact that individual nursing could lower the incidence of CVS of patients who suffered intracranial aneurysms when ligustrazine was used,it is one of the most important way to pro-mote the recovery as well as lower the mortality rate of patients.