摘要
目的 分析个性化护理在颅内动脉瘤介入术后持续性头痛中的应用效果。方法 选取2024年1月-2025年1月本院82例颅内动脉瘤介入术后持续性头痛患者，采用随机数字表法分为对照组（常规护理）与观察组（个性化护理），对比护理相关指标。结果 观察组干预1d、干预3d及干预5d时VAS评分，较对照组低（P<0.05）。观察组患侧椎动脉血流速度为（0.62±0.13）m/s，椎动脉内径（3.41±0.29）mm，阻力指数是（0.47±0.08），对照组分别是（0.49±0.05）m/s、（2.98±0.27）mm、（0.61±0.09），观察组血流速度及椎动脉内径比对照组高，而阻力指数显著降低（P<0.05）。并发症总发生率方面，观察组（4.88%）较对照组（19.51%）低（P<0.05）。结论 个性化护理在减轻颅内动脉瘤介入术后持续性疼痛中具有显著效果，且能够改善患侧椎动脉血流情况，降低并发症发生率。
关键词： 颅内动脉瘤；介入手术；持续性头痛；个性化护理
Abstract
Objective To analyze the application effect of personalized nursing in the treatment of persistent headache after intracranial aneurysm intervention surgery. Methods 82 patients with persistent headache after intracranial aneurysm intervention surgery in our hospital from January 2024 to January 2025 were selected and randomly divided into a control group (conventional nursing) and an observation group (personalized nursing) using a random number table method. Nursing related indicators were compared. Results The VAS scores of the observation group at intervention day 1, intervention day 3, and intervention day 5 were lower than those of the control group (P<0.05). The blood flow velocity of the affected side of the vertebral artery in the observation group was (0.62 ± 0.13) m/s, the vertebral artery diameter was (3.41 ± 0.29) mm, and the resistance index was (0.47 ± 0.08), while the control group was (0.49 ± 0.05) m/s, (2.98 ± 0.27) mm, and (0.61 ± 0.09), respectively. The blood flow velocity and vertebral artery diameter in the observation group were higher than those in the control group, while the resistance index was significantly reduced (P<0.05). In terms of the overall incidence of complications, the observation group (4.88%) was lower than the control group (19.51%) (P<0.05). Conclusion Personalized nursing has a significant effect on reducing persistent pain after intracranial aneurysm intervention surgery, and can improve the blood flow of the affected vertebral artery and reduce the incidence of complications.
Key words： Intracranial aneurysm; Interventional surgery; Persistent headache; Individual nursing
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