论著
围手术期精准护理在脑动脉瘤介入栓塞治疗中的效果分析
高海荣
【摘要】 【摘要】目的 探讨脑动脉瘤介入栓塞治疗围手术期精准护理的效果。方法 选取我院（2015年1月至2017年1月）收治的100例（110枚动脉瘤）脑动脉瘤患者，根据围手术期不同护理方法分为两组，观察组（n=50，共56枚动脉瘤）给予精准护理，对照组（n=50，共54枚动脉瘤）给予常规护理，对比两组患者手术指标和治疗前后昏迷程度、心理状态以及不良事件发生率。
【关键字】 脑动脉瘤,介入栓塞,围手术期,精准护理,治疗效果,负性心理
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[Abstract] Objective To explore the effect of precise nursing during perioperative period of interventional embolization for cerebral aneurysms. Methods 100 patients with cerebral aneurysms (110 aneurysms) admitted to our hospital from January 2015 to January 2017 were divided into two groups according to different nursing methods during perioperative period. The observation group (n=50, 56 aneurysms) was given precise nursing care, while the control group (n=50, 54 aneurysms) was given routine nursing care. The operative indexes, coma degree and psychological state before and after treatment were compared between the two groups. State and incidence of adverse events. Results There were significant differences in blood volume and operation time between the two groups (P<0.05). There was significant difference in GCS score between the two groups after operation (P<0.05). There were significant differences in SDS and SAS scores between the two groups (P<0.05). The incidence of adverse events in the two groups was 10.00% vs 30.00%, and the difference was significant (P<0.05). Conclusion Accurate perioperative nursing in interventional embolization of cerebral aneurysms can effectively promote the therapeutic effect, alleviate negative psychology and improve prognosis, which is worthy of clinical promotion.
脑动脉瘤是指动脉内腔的局限性异常扩大造成动脉壁的一种瘤状突出，成人发病率为2%~5%[1]，容易在患者血压升高、紧张、劳累后突然破裂，致使蛛网膜下腔出血，因此具有极高的致残率和致死率[2]。目前临床主要采用血管内介入栓塞、开颅手术夹闭动脉瘤瘤颈治疗脑动脉瘤，且随着医学技术的发展，利用电解脱式弹簧圈、支架、球囊等栓塞颅内动脉瘤介入栓塞手术的治疗效果越来越好[3]，并能减小手术创伤，缩短患者住院时间，促进恢复，但脑动脉瘤的治疗效果不仅与手术相关，还与其围手术期护理有密切关系，有效的护理可促进手术顺利进行，并减少术后并发症[4]，本研究选取我院（2015年1月至2017年1月）收治的100例（110枚动脉瘤）脑动脉瘤患者，就探讨围手术期精准护理的效果。