集束化护理对动脉瘤破裂术后患者脑血管痉挛防治的影响

李静

（延安市人民医院，陕西 延安，716000）

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摘要：

目的 探讨集束化护理对动脉瘤破裂术后患者脑血管痉挛防治的影响。方法 选取2013年3月至2015年6月我院收治的76例动脉瘤破裂术后患者，将其随机分成观察组及对照组，各38例。观察组采用集束化护理，对照组采用常规护理，比较两组患者的护理效果。结果 对照组CVS发生率（55.26%）显著高于观察组（31.58%），差异有统计学意义（P<0.05）。观察组总有效率（92.11%）明显高于对照组（78.95%），差异有统计学意义（P<0.05）。两组患者入院时及出院时Glasgow昏迷评分比 较，差异均无统计学意义（P>0.05）。结论 集束化护理可早期预见及发现脑血管痉挛现象，有利于及时预防与治疗，有效降低动脉瘤破裂术后CVS的发生率，提高预后效果。

关键词：集束化护理；动脉瘤；脑血管痉挛

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)03-0150-02

Effect of cluster nursing on the prevention and treatment of cerebral vasospasm

in patients with ruptured aneurysm after operation
LI Jing
(Yan'an People's Hospital, Yan'an 716000, China)

ABSTRACT: Objective To explore the effect of cluster nursing on the prevention and treatment of cerebral vasospasm (CVS) in patients with ruptured aneurysm after operation. Methods From March 2013 to June 2015, 76 cases of patients with ruptured aneurysm after operation in our hospital were selected and randomly divided into observation group and control group, with 38 cases in each group. The observation group accepted cluster nursing, while the control group accepted conventional nursing, the nursing effects of the two groups were compared. Results The incidence of CVS in the control group (55.26%) was significantly higher than that in the observation group (31.58%), the difference was statistically significant (P <0.05). The total effective rate (92.11%) of the observation group was significantly higher than that of the control group (78.95%), the difference was statistically significant (P<0.05). There were no significant differences in Glasgow coma scores at admission and discharge between the two groups (P>0.05). Conclusion Cluster nursing can predict and early find the phenomenon of cerebral vasospasm, which is beneficial to timely prevention and treatment. It can effectively reduce the incidence of CVS after aneurysm rupture operation and improve the prognosis.
KEYWORDS: cluster nursing; aneurysm; cerebral vasospasm

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