摘要
目的 探讨手术室风险评估护理在脑出血手术中的应用效果。方法 本研究选取2023年6月至2024年5月期间我院收治的88例脑出血手术患者，采用随机数字表法分为观察组与对照组，各44例。对照组给予常规围术期护理，观察组则在此基础上实施手术室风险评估护理，干预措施包括术前多维评估、术中风险防控、术后并发症预警与健康教育等。对比分析两组患者在术中护理事件控制、术后神经功能恢复及护理满意度等方面的表现。结果 观察组在术中收缩压、舒张压与心率控制方面均显著优于对照组（P<0.05）；术中不良事件发生率及术后并发症发生率明显低于对照组（P<0.05）；术后第7日NIHSS评分明显改善（12.3±2.1-16.1±2.4，P<0.05），护理满意度评分更高（P<0.05）。结论 手术室风险评估护理模式在脑出血手术中具有积极的临床应用价，值得在神经外科手术护理实践中推广应用。
关键词： 脑出血；手术室护理；风险评估；围术期管理；护理质量
Abstract
Objective To explore the application effect of operating room risk assessment nursing in cerebral hemorrhage surgery. Methods This study selected 88 patients with cerebral hemorrhage who underwent surgery in our hospital from June 2023 to May 2024. They were randomly divided into an observation group and a control group using a random number table method, with 44 patients in each group. The control group received routine perioperative care, while the observation group received risk assessment nursing in the operating room based on this. Intervention measures included preoperative multidimensional evaluation, intraoperative risk prevention and control, postoperative complication warning, and health education. Compare and analyze the performance of two groups of patients in terms of intraoperative nursing event control, postoperative neurological function recovery, and nursing satisfaction. Results The observation group showed significant improvement in intraoperative systolic blood pressure, diastolic blood pressure, and heart rate control compared to the control group (P<0.05); The incidence of intraoperative adverse events and postoperative complications was significantly lower in the control group (P<0.05); On the 7th day after surgery, the NIHSS score significantly improved (12.3 ± 2.1-16.1 ± 2.4, P<0.05), The nursing satisfaction score was higher (P<0.05). Conclusion The risk assessment nursing model in the operating room has positive clinical application value in cerebral hemorrhage surgery and is worthy of promotion and application in neurosurgery nursing practice.
Key words： Cerebral hemorrhage; Operating room nursing; Risk assessment; Perioperative management; Nursing quality
参考文献 References
[1] 王柯,李志萍,周昆,等.手术室风险评估护理在脑出血手术中的应用效果[J].河南医学研究, 2023, 32(12):2261-2264.
[2] 余丹,覃淮.基于风险评估的分级护理在脑出血手术患者中的应用效果研究[J].临床护理研究, 2024, 33(22):74-76.
[3] 黄赟.多学科协作手术室护理应用于高血压脑出血手术中的效果[J].中国冶金工业医学杂志, 2025, 42(1):39-40.
[4] 李志文.急性脑出血颅内血肿清除术患者手术室护理效果及安全探讨[J].健康之友 2020年14期, 183-184页, 2020.
[5] 庄萍华.多学科协作快速康复外科手术室护理在高血压脑出血手术中的作用[J].心血管病防治知识:学术版, 2023, 13(9):81-83.
[6] 王佳羽,李少婷.综合护理在微创治疗高血压脑出血手术室护理中的应用效果[J].心血管病防治知识, 2022(10): 43-46.
[7] 蒋智颖,李静.高血压脑出血手术患者应用手术室风险评估结合安全护理干预的临床价值[J].中西医结合心血管病电子杂志, 2021(29):104-106,103.
[8] 于海腾,张新永,申杰勇.手术室整体护理干预在高血压脑出血血肿清除术中的应用效果[J].中外医药研究, 2024, 3(5):126-128.
[9] 陈琦,詹美莺,李秀妹.手术室风险评估结合安全护理干预在高血压脑出血手术患者中的价值[J].心血管病防治知识：学术版, 2022(003):012.