《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (3): 286-288.

• 论文 • 上一篇    下一篇

老年人颅内动脉瘤手术及介入治疗的临床与护理

刘玉蕊1a,b，江颖1a，李丛丛1a，王兰英1a   

  1. 中国人民解放军总医院，a.神经外科;b.南楼内分泌科，北京市 100853。
  • 收稿日期:2009-09-25 修回日期:2010-02-23 出版日期:2010-03-25 发布日期:2010-03-25

Surgery or Intervention for Intracranial Aneurysm in Elderly and Nursing Care: 67 Cases Report

LIU Yu-rui, JIANG Ying, LI Cong-cong, et al.   

  1. Department of Neurosurgery, The Chinese PLA General Hospital, Beijing 100853, China
  • Received:2009-09-25 Revised:2010-02-23 Published:2010-03-25 Online:2010-03-25

PDF (PC)

被引次数

26

摘要： 目的研究老年颅内动脉瘤的手术及介入治疗特点与护理要点。方法回顾性分析67例60岁以上的颅内动脉瘤患者的临床资料。依据出院时格拉斯哥结局量表（GOS）评分，将预后分为良好(4～5分)和差(1～3分)，探讨不同因素对预后的影响。总结其护理要点。结果GOS评分预后良好50例，差17例。中位住院时间手术治疗(19 d)长于介入治疗(11 d)(P<0.05)。单因素分析显示术前Hunt-Hess分级与预后相关(P<0.05)。护理内容包括基础护理、心理护理、对症护理。结论动脉瘤分级及部位是影响预后的重要因素。手术和介入的治疗效果未见显著性差异。

关键词: 颅内动脉瘤, 老年人, 手术, 介入, 护理, 预后

Abstract: ObjectiveTo study the treatment and nursing care for intracranial aneurysm in elderly patients. Methods67 patients aged over 60 with intracranial aneurysm were reviewed. ResultsThe outcome was well (Glasgow Outcome Scale scores, 4～5) in 50 cases, and poor in 17 cases(Glasgow Outcome Scale scores, 1～3)．The median of time staying in hospital was 19 d in patients accepted surgery, and 11 d in the patients accepted intervention (P<0.05)． The preoperative Hunt-Hess grade was related with the outcome (P<0.05). ConclusionThe Hunt-Hess grades and the location of aneurysms are related with the outcome, but the treatment of surgery or intervention is not.

Key words: intracranial aneurysm, elderly, surgery, intervention, nursing, outcome