顱腦術(shù)后發(fā)生嚴(yán)重腦水腫的護(hù)理干預(yù)效果分析

孫麗霞

【摘要】 目的 觀察分析顱腦術(shù)后發(fā)生嚴(yán)重腦水腫的護(hù)理干預(yù)效果。方法 36例顱腦術(shù)后發(fā)生嚴(yán)重腦水腫患者， 按照臨床護(hù)理模式不同分為實(shí)驗(yàn)組與對(duì)照組， 各18例。對(duì)照組患者給予常規(guī)護(hù)理， 實(shí)驗(yàn)組患者在常規(guī)護(hù)理基礎(chǔ)上給予綜合護(hù)理。比較兩組患者臨床恢復(fù)情況。結(jié)果 實(shí)驗(yàn)組患者完全清醒時(shí)間、住院時(shí)間均明顯短于對(duì)照組， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）；實(shí)驗(yàn)組患者總有效率為94.4%， 明顯高于對(duì)照組的66.7%， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.O5）。結(jié)論 對(duì)于顱腦術(shù)后發(fā)生嚴(yán)重腦水腫患者給予綜合護(hù)理可有效改善患者臨床癥狀， 加速患者康復(fù)進(jìn)程。

【關(guān)鍵詞】 顱腦術(shù)后；嚴(yán)重腦水腫；護(hù)理

DOI：10.14163/j.cnki.11-5547/r.2018.02.073

Analysis of effect of nursing intervention on severe cerebral edema after craniocerebral operation SUN Li-xia. Department of Neurosurgery， Yunan Shaotong First Peoples Hospital， Shaotong 657000， China

【Abstract】 Objective To observe and analyze the effect of nursing intervention on severe cerebral edema after craniocerebral operation. Methods A total of 36 patients with severe cerebral edema after craniocerebral operation were divided by different clinical nursing modes into experimental group and control group， with 18 cases in each group. The control group received conventional nursing， and the experimental group received comprehensive nursing on the basis of conventional nursing. Clinical recovery status in two groups was compared. Results The experimental group had obviously shorter full waking time and hospitalization time than the control group， and their difference was statistically significant （P<0.05）. The experimental group had obviously higher total effective rate as 94.4% than 66.7% in the control group， and the difference was statistically significant （P<0.O5）. Conclusion Comprehensive nursing for patients with severe cerebral edema after craniocerebral operation can effectively improve the clinical symptoms and accelerate the process of rehabilitation.

【Key words】 Post craniocerebral operation； Severe cerebral edema； Nursing

顱腦術(shù)后腦水腫的發(fā)生主要是由于患者術(shù)后腦組織損傷， 從而導(dǎo)致患者腦容積增大， 腦內(nèi)水分增加， 絕大多數(shù)顱腦術(shù)后患者易出現(xiàn)嚴(yán)重腦水腫[1， 2]。顱腦術(shù)后腦水腫的發(fā)生可延長(zhǎng)患者腦組織功能恢復(fù)， 造成患者意識(shí)障礙， 因此對(duì)于顱腦術(shù)后腦水腫患者如何給予有效的綜合護(hù)理， 促進(jìn)腦水腫的消退， 幫助患者恢復(fù)正常意識(shí)狀態(tài)， 改善患者臨床癥狀就顯得十分重要[3]。本次實(shí)驗(yàn)對(duì)本院2014年6月～

2017年6月收治的36例顱腦術(shù)后發(fā)生嚴(yán)重腦水腫患者分別給予常規(guī)護(hù)理及綜合護(hù)理， 通過(guò)比較兩組患者意識(shí)完全清醒時(shí)間、住院時(shí)間以及臨床恢復(fù)情況， 從而論證護(hù)理干預(yù)對(duì)顱腦術(shù)后發(fā)生嚴(yán)重腦水腫患者的應(yīng)用價(jià)值?，F(xiàn)報(bào)告如下。

1 資料與方法

1. 1 一般資料 選擇本院2014年6月～2017年6月收治的36例顱腦術(shù)后發(fā)生嚴(yán)重腦水腫患者作為研究對(duì)象， 按照臨床護(hù)理模式不同分為實(shí)驗(yàn)組與對(duì)照組， 各18例。實(shí)驗(yàn)組患者男11例， 女7例；年齡35～72歲， 平均年齡（57.2±5.8）歲。

對(duì)照組患者男10例， 女8例；年齡36～75歲， 平均年齡（57.5±

5.9）歲?！?br>