Perioperative nursing for elderly patients with ruptured intracranial aneurysms undergoing craniotomy for clipping
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摘要: 目的 探讨围术期优质护理对老年颅内动脉瘤破裂患者开颅夹闭术的效果。 方法 将90例老年颅内动脉瘤破裂患者随机分为对照组与观察组,每组45例。对照组给予常规围术期护理,观察组给予围术期优质护理。比较2组术后并发症发生率、住院时间、总费用、临床预后和长期随访情况。 结果 观察组并发症发生率为13.3%, 低于对照组的31.1%, 差异有统计学意义(P<0.05)。出院时,观察组预后良好率高于对照组,总费用低于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05)。观察组焦虑自评量表(SAS)评分低于对照组,差异有统计学意义(P<0.05)。 结论 老年颅内动脉瘤破裂患者开颅夹闭术围术期加强护理可有效减少术后并发症,提高患者生活质量。Abstract: Objective To explore the effect of perioperative nursing for elderly patients with ruptured intracranial aneurysms undergoing craniotomy for clipping. Methods Ninety elderly patients with ruptured intracranial aneurysm were randomly divided into control group and observation group, with 45 cases in each group. The control group was given routine perioperative nursing, and the observation group was given high quality perioperative nursing. The incidence of postoperative complications, length of hospital stay, total cost, clinical prognosis and long-term follow-up were compared between the two groups. Results The complication rate in the observation group was 13.3%, which was significantly lower than 31.1% in the control group(P<0.05). At the time of discharge, the rate of good prognosis in the observation group was significantly higher, the total cost was significantly lower, and the length of hospitalization was significantly shorter than that in the control group(P< 0.05). The Self-Rating Anxiety Scale(SAS)score in the observation group was significantly lower than that in the control group(P<0.05). Conclusion Intensive perioperative nursing for elderly patients with ruptured intracranial aneurysms undergoing craniotomy for clipping can effectively reduce postoperative complications and improve their quality of life.
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VON VOGELSANG A C, THELIN E P, HAKIM R, et al. Health-related quality of life dynamics 2 years following aneurysmal subarachnoid hemorrhage: a prospective cohort study using EQ-5D[J]. Neurosurgery, 2017, 81(4): 650-658.
NATARAJAN S K, SEKHAR L N, GHODKE B, et al. Outcomes of ruptured intracranial aneurysms treated by microsurgical clipping and endovascular coiling in a high-volume center[J]. AJNR Am J Neuroradiol, 2008, 29(4): 753-759.
汪文利. 老年患者颅内破裂动脉瘤血管内介入治疗的护理[J]. 中国实用神经疾病杂志, 2019, 22(14): 1613-1618. 郎喜娜. 老年患者颅内破裂动脉瘤血管内介入治疗的护理[J]. 中国医药指南, 2019, 17(6): 283-284. 刘玉蕊, 江颖, 李丛丛, 等. 老年人颅内动脉瘤手术及介入治疗的临床与护理[J]. 中国康复理论与实践, 2010, 16(3): 286-288. CAN A, CASTRO V M, DLIGACH D, et al. Lipid-lowering agents and high HDL(high-density lipoprotein)are inversely associated with intracranial aneurysm rupture[J]. Stroke, 2018, 49(5): 1148-1154.
SUZUKI T, TAKAO H, RAPAKA S, et al. Rupture risk of small unruptured intracranial aneurysms in Japanese adults[J]. Stroke, 2020, 51(2): 641-643.
麻春英, 罗娟, 李美慧. 显微手术治疗颅内动脉瘤的护理[J]. 国际护理学杂志, 2008, 27(8): 830-832. 徐燕, 任学芳, 金煜峰, 等. 颅内动脉瘤患者自我管理课程的设置及应用效果[J]. 护理学杂志, 2018, 33(15): 71-73. 郭小叶, 贺慧兰, 李洁琼, 等. 颅内动脉瘤破裂中期血管内治疗的围术期护理[J]. 实用临床医药杂志, 2013, 17(6): 72-76. 卞方燕. 围术期个体化护理对颅内动脉瘤开颅夹闭术后患者康复效果观察[J]. 医药前沿, 2019, 9(25): 205-206. -
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