全面护理在老年慢性硬膜下血肿患者术后继发颅内感染发生率中的效果

高月

摘要：目的：研究全面护理在老年慢性硬膜下血肿患者术后继发颅内感染发生率中的效果。方法：以2020年3月-2021年3月在我院接受手术治疗的60例老年慢性硬膜下血肿患者作为实验对象，随机分为研究组和对照组，对照组采取常规护理，研究组在对照组的基础上实行全面护理，对比两组患者术后继发颅内感染发生率。结果：研究组患者术后继发颅内感染发生率远远低于对照组，对比差异有统计学意义（P<0.05）。结论：全面护理能够有效降低老年慢性硬膜下血肿患者术后继发颅内感染发生率。

关键词：全面护理;老年慢性硬膜下血肿;术后继发颅内感染发生率;

Objective： To study the effect of comprehensive nursing on the incidence of postoperative intracranial infection in elderly patients with chronic subdural hematoma. Methods： 60 cases of elderly patients with chronic subdural hematoma treated in our hospital from March 2020 to March 2021 were randomly divided into study group and control group. The control group was given routine nursing， while the study group was given comprehensive nursing on the basis of the control group. The incidence of postoperative secondary intracranial infection was compared between the two groups. Results： the incidence of postoperative secondary intracranial infection in the study group was much lower than that in the control group， and the difference was statistically significant （P < 0.05）. Conclusion： comprehensive nursing can effectively reduce the incidence of postoperative intracranial infection in elderly patients with chronic subdural hematoma.

[Key words] comprehensive nursing; Chronic subdural hematoma in the elderly; The incidence of secondary intracranial infection after operation;

前言

老年性慢性硬膜下血肿最主要原因是颅脑外伤，脑萎缩和抗凝、抗血小板药物等因素参与其发病过程[1]。老年人因动作迟缓、行动不便等原因易于跌倒，且轻微的外伤就可引起重度老年性慢性硬膜下血肿。慢性硬膜下血肿术后并发症相对比较少，个别情况下可以引起手术部位的感染、再出血、硬膜下血肿引流不彻底，或者导致硬膜下血肿变成硬膜下脓肿[2]。本文研究全面护理在老年慢性硬膜下血肿患者术后继发颅内感染发生率中的效果，具体研究如下：

1 资料与方法

1.1 一般资料

以2020年3月-2021年3月在我院接受手术治疗的60例老年慢性硬膜下血肿患者作为实验对象，随机分为研究组和对照组，其中对照组30例，男性17例，女性13例，年龄60-81岁，平均年龄（70.5±0.4）岁;实验组30例，男性10例，女性20例，年龄62-81岁，平均年龄（71.5±0.4）岁。……