神经外科手术患者系统规范化护理模式对应激反应的影响

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摘要目的探讨神经外科手术患者系统规范化护理模式对应激反应的影响。方法 2012-03至2014-11期间我院进行的脑神经胶质瘤手术患者70例，随机分为实验组和对照组。对照组给予常规护理，实验组除接受常规护理外还进行系统规范化的护理干预，比较分析两组患者围手术期的应激反应。结果实验组患者在手术前一天(T₁)血压和心率为[(125.43±19.32)mmHg、(78.98±10.94)次/分]、进入手术室后插气管时(T₂)血压和心率为[(128.45±18.35)mmHg、(78.94±11.47)次/min]、手术结束时(T₃)血压和心率为[(120.15±16.12)mmHg、(83.45±15.15)次/min]手术后的24 h(T₄)血压和心率为[(120.35±17.90)mmHg，(72.25±12.63)次/min]和手术后72 h(T₅)血压和心率为[(121.12±15.23)mmHg、(70.35±12.95)次/min]，这几个时刻的心率和收缩压均明显低于对照组，差异有统计学意义(P<0.05)。实验组患者血清IL-6在手术前后的波动较对照组小，差异有统计学意义(P<0.05)，术后实验组患者血清皮质醇含量变化较对照组小，差异有统计学意义(P<0.05)，术后72 h对照组较实验组更焦虑(P<0.05)。结论系统规范化护理模式可以调节患者手术中的应激反应，维持患者内环境的稳定，对患者的手术效果和术后康复有着重要的促进作用。

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关键词 ：系统规范化护理模式, 神经外科手术, 应激反应

Abstract：Objective To study the effect of system standardized mursing mode on operation stress reaction in patients undergoing neurosurgery. Methods The clinical data of 35 glioma surgery patients from May 2007 to June 2009 who were treated with routine care as the control group, and of other 35 glioma surgery patients from March 2012 to November 2014 who were treated with routine care and system standardized nursing mode care as the study group were retrospectively analyzed. The perioperative stress response between the two groups was compared. Results The heart rate and systolic blood pressure of the patients in the study group were much lower than in the control group(P<0.05). The fluctuations of serum IL-6 and cortisol in the study group were smaller than in the control group(P<0.05). The scores of anxiety value in the 72 h were much higher in the control group(P<0.05). Conclusions Standardized nursing model can be used in adjusting patients’ surgical stress response, it can maintain a stable environment, improve the efficacy of surgery and plays an important role in rehabilitation after surgery.

Key words： system standardized nursing mode neurosurgery stress response

收稿日期: 2015-06-11

ZTFLH:

R473.6

通讯作者: 高春华，E-mail:13552175854@139.com

作者简介: 宋晓娟，本科学历，主管护师。

引用本文:

宋晓娟，高春华. 神经外科手术患者系统规范化护理模式对应激反应的影响[J]. 武警医学, 2016, 27(1): 32-35. SONG Xiaojuan and GAO Chunhua. Effect of system standardized nursing mode on operation stress reaction in patients undergoing neurosurgery. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(1): 32-35.

链接本文:

http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2016/V27/I1/32

[1]	Harbaugh K S,Black P M. Strategies in the surgical management of gliomas [J]. Semin Surg Oncol. 1998.14(1):26-33.
[2]	P Menei, P Metellus,et al, Traitement chirurgical desglioblastomes Surgical treatment of glioblastomas [J]. Neurochirurgie, 2010, 56(6):477-482.
[3]	Julius July, Pirjo Manninen, Jacob Lai, Zhenhai Yao, Mark Bernstein, et al. The history of awake craniotomy for brain tumor and its spread into Asia[J].Surgical Neurology, 2009, 71(5):621-624.
[4]	张振,罗辉宇,徐阳.不同麻醉用药在神经外科手术中对患者应激反应的影响[J].中国实用神经疾病杂志,2014,24:52-53.
[5]	田芳,龚腊梅,余知萍.正性暗示护理对外科手术患者术中应激反应的影响[J].齐鲁护理杂志,2014,20:78-79.
[6]	张银娥,宋辉,杨惠芳,等.运动对慢性心理应激大鼠行为及血清皮质醇、IL-2、IL-8的影响[J]. 中国工业医学杂志,2007(02)
[7]	樊淑娟,刘德祥,宋静,等. 抗应激处理对慢性应激大鼠行为、血清IL-6和皮质醇的影响[J]. 山东大学学报(医学版),2008,01,60-63.
[8]	王妍心,刘国泽.舒芬太尼、芬太尼对心外科手术术中应激反应的影响[J].现代预防医学,2012,09:2380-2381,2386.
[9]	张占军.神经外科手术中不同组合麻醉用药对应激反应的抑制效果观察[J].中国实用医药,2013,23:134-135.