[1]钟卫卢.临床护理路径在颅内血肿清除术治疗高血压脑出血患者中的应用效果及对并发症的影响[J].医学信息,2023,36(10):183-185.[doi:10.3969/j.issn.1006-1959.2023.10.042]
　ZHONG Wei-lu.Application Effect of Clinical Nursing Pathway in Patients with Hypertensive Intracerebral Hemorrhage Treated by Intracranial Hematoma Evacuation and its Influence on Complications[J].Journal of Medical Information,2023,36(10):183-185.[doi:10.3969/j.issn.1006-1959.2023.10.042]
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临床护理路径在颅内血肿清除术治疗高血压脑出血患者中的应用效果及对并发症的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年10期
页码:
183-185
栏目:
护理研究
出版日期:
2023-05-15

文章信息/Info

Title:
Application Effect of Clinical Nursing Pathway in Patients with Hypertensive Intracerebral Hemorrhage Treated by Intracranial Hematoma Evacuation and its Influence on Complications
文章编号:
1006-1959（2023）10-0183-03
作者:
钟卫卢
（井冈山大学附属医院神经外科，江西 吉安 343000）
Author(s):
ZHONG Wei-lu
(Department of Neurosurgery,Affiliated Hospital of Jinggangshan University,Ji’an 343000,Jiangxi,China)
关键词:
高血压脑出血; 颅内血肿清除术; 临床护理路径
Keywords:
Hypertensive intracerebral hemorrhage; Intracranial hematoma evacuation; Clinical nursing path
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2023.10.042
文献标志码:
A
摘要:
目的 探讨临床护理路径（CNP）在颅内血肿清除术治疗高血压脑出血（HICH）患者中的应用效果及对并发症的影响。方法 选取2020年1月-2021年1月于我院行颅内血肿清除术治疗的HICH患者74例为研究对象，采用随机数字表法分为RC组和CNP组，每组37例。RC组于围术期给予常规护理，CNP组于围术期给予CNP辅助护理。比较两组护理前后神经功能、认知功能、生活质量改善情况、术后住院时间、并发症发生情况。结果 两组NIHSS评分低于护理前，且CNP组低于RC组（P＜0.05）；两组MMSE评分、SF-36各项目评分高于护理前，且CNP组高于RC组（P＜0.05）；CNP组术后住院时间短于RC组，并发症发生率低于RC组（P＜0.05）。结论 在HICH患者行颅内血肿清除术治疗期间，给予CNP护理有利于减轻患者神经功能损伤，促进其认知功能恢复，减少术后并发症，提高患者术后生活质量。
Abstract:
Objective To explore the application effect of clinical nursing pathway (CNP) in patients with hypertensive intracerebral hemorrhage (HICH) treated by intracranial hematoma evacuation and its influence on complications.Methods A total of 74 patients with HICH who underwent intracranial hematoma evacuation in our hospital from January 2020 to January 2021 were selected as the research objects. They were divided into RC group and CNP group by random number table method, with 37 patients in each group. The RC group was given routine nursing during the perioperative period, and the CNP group was given CNP auxiliary nursing during the perioperative period. The neurological function, cognitive function, quality of life improvement before and after nursing, postoperative hospitalization time and complications were compared between the two groups.Results The NIHSS score of the two groups was lower than that before nursing, and that in the CNP group was lower than that in RC group (P<0.05). The MMSE scores and SF-36 scores of the two groups were higher than those before nursing, and those in the CNP group were higher than those in the RC group (P<0.05). The postoperative hospital stay in the CNP group was shorter than that in the RC group, and the incidence of complications was lower than that in the RC group (P<0.05).Conclusion During the treatment of intracranial hematoma evacuation in patients with HICH, CNP nursing is beneficial to reduce the neurological impairment, promote the recovery of cognitive function, reduce postoperative complications, and improve the quality of life of patients after operation.

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更新日期/Last Update: 1900-01-01