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脑血管病全脑血管造影和介入治疗的临床护理研究 被引量:4

Clinical Nursing Study of Whole Cerebral Angiography and Interventional Therapy for Cerebrovascular Diseases
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摘要 目的探究对脑血管病病患经全脑血管造影和介入治疗后的临床护理效果。方法把在2019年3月-2020年4月从重庆三峡医药专科学校附属人民医院就诊的66例接受全脑血管造影和介入治疗的脑血管病病患列为研究样本,根据随机数字表法把当中予以常规护理的33例病患视为一般组,而采用康复护理进行治疗的33例病患为治疗组。对比分析不同组脑血管病病患术后并发症(脑出血、脑血管痉挛、皮下血肿和穿刺部位出血)的情况,两组脑血管病病患及家属的满意度以及护理不同时间段的NIHSS评分。结果治疗组脑血管病病患的脑出血、脑血管痉挛、皮下血肿和穿刺部位出血等并发症发生率和总发生率均明显低于一般组病患,结果在统计学上存在意义(P<0.05);此外,治疗组脑血管病病患及家属对护理效果的总满意度明显高于一般组,结果在统计学上存在意义(P<0.05),治疗组病患护理7d、14d、21d的NIHSS评分分别为:(12.46±3.25)分,(8.05±2.44)分,(5.49±1.27)分,均低于一般组病患(20.59±6.18)分,(17.14±5.74)分,(14.59±4.49)分,结果在统计学上存在意义(P<0.05)。结论针对行全脑血管造影和介入治疗的脑血管病病患临床护理发现,采用针对性康复护理能有效缓解病患的并发症,明显提升治疗效果,具有应用价值和实际意义。 Objective To explore clinical nursing effect of whole cerebral angiography and interventional therapy on patients with cerebrovascular diseases.Methods The paper chose 66 cases cerebrovascular patients with whole cerebral angiography and interventional therapy in our hospital from March 2019 to April 2020 as research samples.According to the random number table method,33 cases with routine nursing were regarded as general group,while 33 cases with rehabilitation nursing as treatment group.Postoperative complications(intracerebral hemorrhage,cerebral vasospasm,subcutaneous hematoma and puncture site bleeding)of cerebrovascular patients in different groups,satisfaction degree of cerebrovascular patients and their families in two groups and NIHSS scores of nursing in different periods of time were compared and analyzed.Results Incidence and total incidence of complications including cerebral hemorrhage,cerebral vasospasm,subcutaneous hematoma and puncture site bleeding in treatment group was significantly lower than general group,with statistical significance,(P<0.05);in addition,total satisfaction degree of cerebrovascular patients and their families in treatment group was significantly higher than general group,with statistical significance,(P<0.05).NIHSS scores of patients in treatment group for 7 days,14 days and 21 days were:(12.46±3.25),(8.05±2.44)and(5.49±1.27)respectively,which were lower than(20.59±6.18)and(17.14±5.74),(14.59±4.49)of general group,with statistical significance,(P<0.05).Conclusion During clinical nursing of cerebrovascular patients with total cerebral angiography and interventional therapy,it is found that targeted rehabilitation nursing can alleviate complications of patients effectively and improve treatment effect significantly,with application value and practical significance,which is recommended to be promoted.
作者 周晓姗 陈万明 ZHOU Xiao-shan;CHEN Wan-ming(Chongqing Three Gorges Medical College Affiliated People's Hospital,Chongqing,400400)
出处 《智慧健康》 2021年第30期168-170,共3页 Smart Healthcare
关键词 脑血管病 全脑血管造影 介入治疗 临床护理观察 Cerebrovascular disease Whole cerebral angiography Interventional therapy Clinical nursing observation
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