摘要
目的 分析讨论基于循证医学的脑出血患者微创穿刺引流术后护理方案优化与实践效果。方法 选择2024年1月-2024年12月我院神经外科进行微创穿刺引流术的脑出血患者60例为研究对象，以随机数字法分为观察组（基于循证医学的术后护理方案）与对照组（常规护理方案），将两组护理前后的血清炎症因子水平与神经功能、肢体功能评分以及术后患者生活质量进行比较。结果 护理后观察组血清炎症因子水平、NIHSS评分、FMA、BI、生活质量均优于对照组（P<0.05）。结论 基于循证医学的术后护理方案可有效改善脑出血患者微创穿刺引流术后护理身体各项指标，提高手术实施效果，对患者生命安全具有重要影响作用，值得广泛推广与应用。
关键词： 循证医学；脑出血；微创穿刺引流术；护理方案
Abstract
Objective To analyze and discuss the optimization and practical effects of postoperative nursing plans for patients with cerebral hemorrhage undergoing minimally invasive puncture drainage based on evidence-based medicine. Methods Sixty patients with cerebral hemorrhage who underwent minimally invasive puncture drainage surgery in our neurosurgery department from January 2024 to December 2024 were selected as the research subjects. They were randomly divided into an observation group (based on evidence-based medicine postoperative nursing plan) and a control group (conventional nursing plan). The serum inflammatory factor levels, neurological function, limb function scores, and postoperative patient quality of life before and after nursing were compared between the two groups. Results Post nursing observation group serum inflammatory factor levels, NIHSS scores FMA、BI、 The quality of life was better than that of the control group (P<0.05). Conclusion The postoperative nursing plan based on evidence-based medicine can effectively improve various physical indicators of minimally invasive puncture drainage in patients with cerebral hemorrhage, enhance the effectiveness of surgical implementation, and have an important impact on patient safety. It is worthy of wide promotion and application.
Key words： Evidence based medicine; Cerebral hemorrhage; Minimally invasive puncture drainage surgery; Nursing plan
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