Exploration of the improvement of perioperative blood pressure levels in patients with cerebral aneurysms through programmatic nursing under the guidance of target blood pressure management
目标血压管理指导下的程序化护理对脑动脉瘤患者围术期血压水平的改善探讨

摘要

目的 分析脑动脉瘤患者围手术期使用目标血压管理指导下的程序化护理干预的效果。方法 选取2022年1月~2023年1月内我院收治的脑动脉瘤手术治疗患者68例，按照患者入院先后顺序分为对照组（常规护理）和观察组（目标血压管理指导下的程序化护理）各34例，对比两组护理效果。结果 术前和手术开始时两组血压指标差异均无统计学意义（P＞0.05），术后患者苏醒时观察组血压指标均较对照组更优，且观察组术后神经功能、独立生活能力和运动功能评分均优于对照组，差异均有统计学意义（P＜0.05）。结论 对脑动脉瘤患者围术期行目标血压管理指导下的程度化护理能够维持患者术后血压稳定，加快神经功能、独立生活能力和运动功能的恢复。

Abstract

Objective To analyze the effect of programmed nursing interventions guided by target blood pressure management during the perioperative period in patients with cerebral aneurysms.
Methods Sixty eight patients with cerebral aneurysms who underwent surgical treatment in our hospital from January 2022 to January 2023 were selected and divided into a control group (conventional nursing) and an observation group (programmed nursing under the guidance of target blood pressure management) in the order of admission, with 34 patients in each group. The nursing effects of the two groups were compared.
Results There was no statistically significant difference in blood pressure indicators between the two groups before and at the beginning of surgery (P>0.05). After surgery, the blood pressure indicators in the observation group were better than those in the control group when the patients woke up, and the neurological function, independent living ability, and motor function scores in the observation group were better than those in the control group after surgery, and the differences were statistically significant (P<0.05).
Conclusion   Under the guidance of target blood pressure management during the perioperative period, standardized nursing care for patients with cerebral aneurysms can maintain postoperative blood pressure stability, accelerate the recovery of neurological function, independent living ability, and motor function.