發(fā)布時間：2018-03-26 09:03

  本文選題：顱內(nèi)靜脈竇出血　切入點：腦出血　出處：《血栓與止血學(xué)》2016年06期

【摘要】：目的探討手術(shù)治療顱內(nèi)靜脈竇血栓形成(CVST)合并腦出血所致腦疝患者的有效護(hù)理干預(yù)方法。方法選擇2010年1月至2015年2月我院收治的36接受血腫清除術(shù)聯(lián)合去骨瓣減壓術(shù)治療的CVST合并腦出血所致腦疝患者,按就診順序分為對照組與觀察組兩組,各18例。對照組給予常規(guī)護(hù)理,觀察組予以強化護(hù)理,包括心理護(hù)理、顱內(nèi)高壓觀察、抗凝用藥護(hù)理、康復(fù)指導(dǎo)等,觀察兩組恢復(fù)情況,統(tǒng)計術(shù)后并發(fā)癥發(fā)生率,出院時采用格拉斯哥預(yù)后(GOS)表評定其恢復(fù)情況,隨訪6~12個月,統(tǒng)計血栓復(fù)發(fā)、顱內(nèi)出血再發(fā)率,采用改良Rankin量表(mRS)表評定患者預(yù)后。結(jié)果 1觀察組整體并發(fā)癥發(fā)生率低于對照組(P0.05);2觀察組術(shù)后恢復(fù)良好、輕度殘疾比例高于對照組,重度殘疾及死亡比例低于對照組,但對比差異無統(tǒng)計學(xué)意義(P0.05);3術(shù)后6個月、12個月,觀察組mRS評分降低幅度高于對照組(P0.05);4觀察組靜脈竇血栓、顱內(nèi)出血新發(fā)及復(fù)發(fā)例數(shù)均低于對照組,但對比差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論在采用手術(shù)治療的CVST合并腦出血所致腦疝患者中應(yīng)用強化護(hù)理干預(yù),可減少血栓、出血性不良事件,改善預(yù)后。
[Abstract]:Objective to explore the effective nursing intervention method for patients with cerebral hernia caused by cerebral hemorrhage caused by intracranial venous sinus thrombosis (CVST). Methods 36 patients treated in our hospital from January 2010 to February 2015 were treated with hematoma removal combined with bone flap removal. CVST patients with cerebral hernia due to intracerebral hemorrhage treated by decompression, The control group was given routine nursing, and the observation group was given intensive nursing, including psychological nursing, intracranial hypertension observation, anticoagulant medication nursing, rehabilitation guidance and so on. The incidence of postoperative complications was counted and the recovery was evaluated by Glasgow prognostic GOS at discharge. The recurrence of thrombus and the recurrence rate of intracranial hemorrhage were recorded during the follow-up period of 612 months. Results 1 the overall complication rate in the observation group was lower than that in the control group (P 0.05), the proportion of mild disability was higher than that in the control group, and the proportion of severe disability and death was lower than that in the control group. However, there was no significant difference between the two groups at 6 months and 12 months after operation. The decrease of mRS score in the observation group was higher than that in the control group (P 0.05). The number of new and recurrent cases of intracranial hemorrhage in the observation group was lower than that in the control group. Conclusion intensive nursing intervention can reduce thrombus, haemorrhage adverse events and improve prognosis in patients with cerebral hernia caused by CVST combined with intracerebral hemorrhage.
【作者單位】： 朝陽市中心醫(yī)院;
【分類號】：R473.6

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