个体化护理结合快速康复理念应用于动脉瘤介入栓塞术后的临床效果观察

李小群 王小玉 何卫娥

[摘要] 目的 觀察个体化护理结合快速康复理念应用于动脉瘤介入栓塞术后的临床效果。 方法 选择我院2018年1月至2019年12月行动脉瘤介入栓塞术患者60例进行临床研究，按照随机数字表法将其分为观察组与对照组，每组各30例。对照组患者在常规护理基础上给予快速康复理念护理。观察组在对照组护理方案基础上给予个体化护理。比较两组患者术后格拉斯哥昏迷评分（GCS）、出院时格拉斯哥预后评分（GOS）及术后3个月的日常生活能力量表（BI值）及术后并发症的发生率。 结果 观察组患者术后GCS评分为（7.52±1.29）分、出院时GOS评分为（4.11±0.52）分、BI值为（62.53±9.29）分，均高于对照组的（6.14±1.33）分、（2.91±0.73）分及（42.55±9.86）分，差异有统计学意义（P<0.05）;观察组术后并发症发生率为6.66%，明显低于对照组的26.66%，差异有统计学意义（P<0.05）。 结论 个体化护理结合快速康复理念能够降低动脉瘤介入栓塞术后患者并发症的发生率，改善患者的生存状态，具有重要的临床应用价值。

[关键词] 个体化护理;快速康复护理;动脉瘤;介入栓塞术

[中图分类号] R473.6          [文献标识码] B          [文章编号] 1673-9701（2021）25-0173-03

Clinical effect observation of individualized nursing combined with rapid rehabilitation concept applied to aneurysm interventional embolization

LI Xiaoqun1   WANG Xiaoyu1   HE Weie2

1.Ward of the First Department of Neurology，the Second Xiangya Hospital of Central South University， Changsha 410011， China; 2.Clinical Nursing Teaching and Research Section， the Second Xiangya Hospital of Central South University， Changsha   410011， China

[Abstract] Objective To observe the clinical effect of individualized nursing combined with rapid rehabilitation concept applied to aneurysm interventional embolization. Methods A total of 60 patients from January 2018 to December 2019 undergoing interventional embolization of aneurysms in our hospital were selected for clinical research. They were randomly divided into the observation group and the control group based on random number table method， with 30 cases in each group. Patients in the control group were given rapid rehabilitation concept nursing on the basis of conventional nursing. The observation group was given individualized nursing on the basis of the nursing plan of the control group. The Glasgow Coma Scale （GCS）， Glasgow Prognosis Scale （GOS） at discharge， the daily life ability scale （BI value） 3 months after operation and the incidence of postoperative complications were compared between the two groups. Results The postoperative GCS score， GOS score and BI score in the observation group were （7.52±1.29）points， （4.11±0.52）points and （62.53±9.29）points， respectively， which were all higher than those in the control group（6.14±1.33）points， （2.91±0.73）points and （42.55±9.86）points， respectively，with statistical differences（P<0.05）. The incidence of postoperative complications was 6.66% in the observation group，which was significantly lower than that in the control group （26.66%）， with statistical difference（P<0.05）. Conclusion Individualized nursing combined with the concept of rapid rehabilitation can reduce the incidence of complications and improve the survival status of patients after aneurysm interventional embolization， which has important clinical application value.

[Key words] Individualized nursing; Rapid rehabilitation nursing; Aneurysms; Interventional embolization

脑动脉瘤是导致蛛网膜下腔出血的最常见病因之一，是脑动脉内腔出现异常的局限性的扩张所形成的瘤状凸起，具有较高的致死率和致残率[1]。多数患者在动脉瘤破裂前无明显症状，但是一旦破裂则会出现蛛网膜下腔出血，患者突发剧烈头痛、呕吐、面色苍白、冷汗，严重者会出现意识丧失[2]，若不及时有效的采取相应的治疗措施，患者致死率非常高。目前随着介入技术及材料科学的发展，相对于开颅夹闭动脉瘤而言，介入栓塞的手术创伤更小，患者相对而言整个围术期所承受的痛苦也更小，目前脑动脉瘤介入栓塞术已经成为临床常用的治疗脑动脉瘤的微创疗法，近年来配合术后快速康复护理理念使患者恢复较好。……