Clinical discussion on the application of blood pressure control care on the prognostic complicationsof intracranial artery embolisation
血压控制护理对颅内动脉栓塞术预后并发症的应用临床探讨

摘要

目的 探讨血压控制护理对颅内动脉栓塞术预后并发症的应用效果。方法 从本院2020年5月~2023年2月期间，选取行颅内动脉栓塞术的患者，将72例纳入研究目标，根据患者手术时间顺序对其分成2组进行护理，36例对照组患者为常规护理，36例观察组患者应用血压控制护理，对2组患者的术后并发症、术后48h的血压水平及护理满意度展开分析，对比组间数据差异。结果 观察组患者的脑梗死、血栓破裂、脑血管痉挛、动脉瘤破裂的总发生率，相比对照组患者的各项并发症总发生率显著更低，2组数据具有统计学意义，（P＜0.05）；2组患者术后48h的平均动脉压、中心静脉压相比之下，明显观察组患者的血压水平较优，组间数据存在显著差异，（P＜0.05）；相比2组患者对护理工作的评价，其观察组满意度更高于对照组，差异存在统计学意义，（P＜0.05）。结论 对于颅内动脉栓塞术患者的预后护理，临床应用血压控制护理的效果最为理想，可有效降低患者的并发症风险，维持患者的正常血压水平，值得推广。

Abstract

Objective To explore the application effect of blood pressure control nursing on the prognosis complications of intracranial artery embolization.
Methods From May 2020 to February 2023 in our hospital, 72 patients who underwent intracranial artery embolization were selected and included in the study objective. They were divided into two groups for nursing according to the surgical time sequence. 36 patients in the control group received routine nursing, while 36 patients in the observation group received blood pressure control nursing. The postoperative complications, blood pressure levels at 48 hours after surgery, and nursing satisfaction of the two groups of patients were analyzed, and the data differences between the two groups were compared.
Results The total incidence of cerebral infarction, thrombus rupture, cerebral vasospasm, and aneurysm rupture in the observation group was significantly lower than that in the control group. The data from both groups were statistically significant (P<0.05); Compared with the Mean arterial pressure and Central venous pressure 48 hours after surgery, the blood pressure level of patients in the observation group was better, and there was significant difference between the two groups (P<0.05); Compared to the two groups of patients, the observation group showed higher satisfaction with nursing work compared to the control group, with a statistically significant difference (P<0.05).
Conclusion   For the prognosis nursing of patients undergoing intracranial arterial embolization, the clinical application of blood pressure control nursing has the most ideal effect, which can effectively reduce the risk of complications and maintain normal blood pressure levels in patients. It is worth promoting.