神经外科围术期并发症高危因素分析及临床护理

摘要

Objective:To analyze the high risk factors of perioperative complications in Department of Neurosurgery ,and to explore the clinical nursing intervention strategies .Methods:A retrospective analysis of the clinical data of 628 patients with 5 months ( from January to May)of 2015 who was successfully implemented with neurosurgery ,including the postoperative complications occurred in 48 cases,use logistic to analyze the factors of complications of high -risk patients in Department of Neurosurgery ,and to explore the effects of clinical nursing in-tervention.Results:Single factor conditional logistic analysis was used to analyze the risk factors including diabetes ,patients undergoing per-cutaneous coronary intervention ,repeated puncture ,indwelling sheath and so on ,especially for 48 cases of postoperative complications .Logis-tic multivariate analysis was used to analyze the factors such as hypertension ,intravenous strong irritant drugs and intravenous indwelling tube.These factors were independent risk factors of postoperative complications .Through nursing intervention treatment ,the symptoms of pa-tients were effectively controlled .Conclusion:The formation of perioperative complications in Department of Neurosurgery is affected by many factors,which should be closely observed in patients at high risk ,and it is necessary to standardize treatment and nursing intervention .%目的:分析神经外科围术期并发症高危因素,探讨临床护理干预策略.方法:回顾性分析2015年1~5月成功实施神经外科手术的628例患者资料,其中48例发生术后并发症,运用Logistic分析神经外科围术期并发症高危因素,同时探讨临床护理干预效果.结果:628例患者中发生术后并发症48例,经过单因素条件Logistic分析高危因素为糖尿病、既往行经皮冠状动脉介入、反复穿刺、留置鞘管;多因素Logistic分析高血压、静脉内应用刺激性强药物及静脉内留置管道是诱发术后并发症的独立危险因素.通过护理干预处理,患者症状得到有效控制.结论:神经外科围术期并发症的形成受多因素作用,对高危患者应当密切观察病情,给予规范化治疗及护理干预十分必要.