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(19d)长于介入治疗(11d)(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。
Objective To study the treatment and nursing care for intracranial aneurysm in elderly patients. Methods 67 patients aged over 60 with intracranial aneurysm were reviewed. Results The outcome was well （Glasgow Outcome Scale scores, 4-5） in 50 eases, and poor in 17 cases（Glasgow Outcome Seale 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）. Conclusion The Hunt-Hess grades and the location of aneurysms are related with the outcome, but the treatment of surgery or intervention is not.
出处
《中国康复理论与实践》
CSCD
2010年第3期286-288,共3页
Chinese Journal of Rehabilitation Theory and Practice
关键词
颅内动脉瘤
老年人
手术
介入
护理
预后
intracranial aneurysm
elderly
surgery
intervention
nursing
outcome
