围手术期护理干预对颅内动脉瘤开颅夹闭术患者术后康复的影响被引量：5

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摘要目的探讨围手术期护理干预对颅内动脉瘤开颅夹闭术患者术后康复的影响。方法选取本院2017年7月至2018年7月内接收的94例颅内动脉瘤患者,随机分为观察组与对照组,每组47例。分别给予围手术期护理干预、常规护理干预。对比患者术后并发症发生情况,并观察两组患者术后恢复情况以及心理状况。结果观察组术后总并发症发生率较对照来说显著更低;观察组术后NIHSS评分较对照组显著更低,且QLQ-C30、FMA评分较对照组均更高;观察组术后SAS、SDS评分较对照组均更低;比较有统计学意义(P <0.05)。结论围手术期护理干预可有效降低接受开颅夹闭术治疗的颅内动脉瘤患者术后并发症的发生概率,促进患者的快速康复,缓解负性情绪,临床实用价值较高。

作者马玥姝

机构地区辽宁省盘锦市中心医院

出处《中国医药指南》 2019年第5期186-187,共2页 Guide of China Medicine

关键词围手术期护理干预颅内动脉瘤开颅夹闭术术后康复

分类号 R473.6 [医药卫生—护理学]

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1何婉玲,袁惠萍,罗鹏.针对性护理在颅内动脉瘤围手术期的临床效果[J].实用医学杂志,2017,33(24):4180-4182. 被引量：48
2郭海军,韩德清,陈玉光,黄永凯.显微开颅夹闭术与血管内栓塞对颅内前循环动脉瘤患者的疗效比较[J].神经损伤与功能重建,2016,11(1):66-68. 被引量：22
3陈萍云,陈丽芳,蓝惠兰,彭丽娟,罗丽芬.颅内动脉瘤栓塞术后患者目标血压控制的护理干预[J].护理学杂志,2016,31(14):33-34. 被引量：41
4毋云利,吴媛.开颅手术患者围术期预见性护理的应用价值[J].河北医药,2016,38(15):2373-2375. 被引量：13
5张彦冰,管生,郭新宾,徐浩文,权涛,陈振.颅内动脉瘤介入治疗围术期缺血并发症病因分析与防治(附48例报告)[J].介入放射学杂志,2017,26(4):291-295. 被引量：30
6严启荣,付强,张珊,王莉,潘丽萍.颅内动脉瘤血管内治疗围手术期护理体会[J].中国临床神经外科杂志,2017,22(8):589-590. 被引量：19

二级参考文献46

1赵杰,刘景平,张治平,李建,肖格磊,廖新斌,金晨.开颅手术后轴外脑脊液蓄积的治疗体会[J].中南大学学报（医学版）,2015,40(4):446-452. 被引量：1
2沈建康.脑血管痉挛的机制和防治[J].国际脑血管病杂志,2006,14(7):481-493. 被引量：48
3Chang W, Huang M, Chien A. Emerging techniques for evaluation of the hemodynamics of intracranial vascular pathology [J]. Neuroradiol J, 2015, 28: 19-27.
4Chang SI, Tsai MD, Wei CP. Posterior communicating anenrysm with oculomotor nerve palsy: clinical outcome niter aneurysm clipping [J]. Turk Nenrosurg, 2014, 24: 170-173.
5Liu HM, Wong HF, Lee KW, et al. Taiwan aneurysm registry: multivari- ate analysis of two-month, one-year, and two-year outcomes after endovas- cular and microsurgieal treatment of ruptured aneurysms [J]. Interv Neuroradiol, 2013, 19: 35-42.
6Eto A, Nakai K, Aikawa H, et al. Unruptured cerebral aneurysm associ- ated with fenestration of the anterior cerebral artery successfully treated with coil embolization using an intracranial stent: a case report [J]. No Shinkei Geka, 2015, 43: 75-78.
7Bor AS, Niemansburg SL, Wermer MJ, et al. Anosmia after coiling of ruptured aneurysms: prevalence, prognosis, and risk factors[J]. Stroke, 2009, 40: 2226-2228.
8Molyneux A J, Birks J, Clarke A, et al. The durability of endovascular coiling versus neurosurgieal clipping of ruptured cerebral aneurysms: 18 year follow-up of the UK cohort of the International Subarachnoid A- neurysm Trial (ISAT)[J]. Lancet, 2015, 385: 691-697.
9Standhardt H, Boecher-Sehwarz H, Gruber A, et al. Endovascular treat- ment of unruptured intracranial aneurysms with CJuglielmi detachable coils: short- and long-term results of a single-centre series [J]. Stroke, 2008, 39: 899-904.
10Molyneux AJ, Kerr RS, Yu LM, et al. International subarachnoid a- neurysm trial (ISAT) ofneurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised compar- ison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion[J]. Lancet, 2005, 366: 809-819.