摘要
目的探讨颅内静脉窦血栓形成合并脑出血所导致产生脑疝患者的临床手术治疗成效及其有效护理。方法选自于2015年6月~2016年6月期间在我院进行治疗的40例脑疝患者作为本次研究对象。按照随机抽号方式将患者分为两组,观察组与对照组(n=20)。观察组患者施以强化护理,对照组则施以常规护理,护理方法均经过患者本人及其家属同意,签订知情同意书。施以手术治疗以及护理之后,对两组患者恢复情况进行观察,对术后的并发症发生率进行统计,出院时通过借助GOS(格拉斯哥预后)完成疗效评定。随访观察记录6~12个月,对患者的血栓复发以及颅内出血复发率,借助MRS量表进行对患者的护理预后进行评定。结果经过统计分析,发现观察组患者整体病症病发率都明显低于对照组,两组比较差异有统计学意义(P<0.05);观察组患者在术后恢复较好、轻度残疾比例略超出对照组,但是重度残疾死伤率略低于对照组,差异无统计学意义(P>0.05);在术后随访阶段,6个月、12个月对患者的护理预后评分观察组的MRS评分明显低于对照组,两组比较差异有统计学意义(P<0.05);观察组治疗之后的静脉窦血栓、颅内出血的病症复发明显低于对照组。结论通过对颅内静脉窦血栓形成合并脑出血所致脑疝患者施以手术治疗以及强化护理,可以很大程度的减少出现血栓、出血性不良事件的发生,具有临床治疗护理推广意义。
Objective To investigate the clinical effect of patients with cerebral hernia caused by cerebral venous sinus thrombosis combined with cerebral hemorrhage and its effective nursing. Methods Forty patients with herniated hernia who were treated in our hospital from June 2015 to June 2016 were selected as subjects of this study. The patients were divided into the observation group and the control group （n=20 according to the random sampling method. The patients in the observation group were treated with intensive care, while the patients in the control group were given routine care. After surgical treatment and nursing care, the recovery of patients in two groups were observed, the incidence of postoperative complications were statistically analyzed, the efficacy evaluation was completed by discharge at the end of the GOS （Glasgow prognosis）. Follow-up observation records 6-12 months, the patient＇s nursing prognosis such as thrombosis recurrence and intracranial hemorrhage recurrence rate were assessed with the MRS scale. Results After statistical analysis, the incidence of overall disease in the observation group was significantly lower than that in the control group, the difference between the two groups was statistically significant （P 〈0.05）. The patients in the observation group recovered better after operation and the proportion of mild disability was higher than that of the control group, but the severity of severe disability was lower than that of the control group, the difference was not statistically significant（P 〉0.05）. During the postoperative follow-up period, the MRS score of the observation group was significantly lower than that of the control group at 6 months and 12 months, the difference between the two groups was statistically significant（P 〈0.05）. After treatment, the recurrence of venous sinus thrombosis, intracranial hemorrhage in the observation group were significantly lower than those in the control group. Conclusion Through surgical treatment and intensive nursing care for patients with cerebral hernia caused by cerebral venous sinus thrombosis combined with cerebral hemorrhage, can greatly reduce the occurrence of thromboembolic and hemorrhagic adverse events, and has the significance of promoting clinical treatment and nursing.
出处
《中国医药科学》
2017年第24期159-162,共4页
China Medicine And Pharmacy
关键词
颅内静脉窦血栓
脑出血
脑疝
Intracranial venous sinus thrombosis
Cerebral hemorrhage
Hernia
