简介：　　 [摘要 ]目的观察临床护理路径（ CPN）对鼻中隔偏曲矫正患者术后疼痛及生活质量的影响。方法选取 2017年 1月～ 2019年 12月在我院治疗的 60例鼻中隔偏曲患者作为研究对象，运用随机数表法将其分为两组，均 30例。对照组采取临床常规护理，观察组则实施 CPN护理。观察两组术后疼痛与生活质量。结果观察组术后 12、 24、 72h时疼痛评分低于对照组，差异有统计学意义（ P<0.05）；观察组干预后躯体功能、心理功能、社会功能、物质生活等维度评分均显著优于对照组，差异有统计学意义（ P<0.05）；观察组住院时间、住院费用均少于对照组，差异有统计学意义（ P<0.05）。结论 CPN的实施有助于缓解鼻中隔偏曲矫正患者术后疼痛，提升其生活质量，缩短治疗时间，对促进疾病康复作用显著。  　　 [关键词 ]临床护理路径；鼻中隔偏曲矫正术；术后疼痛；生活质量  [Abstract] Objective To observe the effect of clinical nursing pathway (Cpn) on the postoperative pain and quality of life of patients with deviation of nasal septum. Methods 60 patients with deviation of nasal septum treated in our hospital from January 2017 to December 2019 were selected as the study objects. They were divided into two groups by random number table method, 30 cases in each group. The control group received routine clinical nursing, while the observation group received CPN nursing. The pain and quality of life were observed. Results the pain score of the observation group was lower than that of the control group at 12, 24 and 72 hours postoperatively, the difference was statistically significant (P < 0.05); the scores of physical function, psychological function, social function, material life and other dimensions of the observation group were significantly better than those of the control group, the difference was statistically significant (P < 0.05); the length of stay and cost of stay in the observation group were less than those of the control group, the difference was statistically significant (P < 0.05) .05）。 Conclusion the implementation of CPN is helpful to relieve the postoperative pain, improve the quality of life, shorten the treatment time and promote the recovery of the disease.

简介：　　 [摘要 ] 目的 探讨高血压脑出血手术治疗时间选择对患者疗效及生活质量的影响。方法 该研究回顾性分析该院 2018年 1月— 2019年 12月收治的 150例高血压脑出血手术治疗患者的临床资料，患者手术时间为发病 6 h以内组（ 50例）、发病 6～ 24 h组（ 50例）、发病 24 h以上组（ 50例），对比分析 3组患者的临床疗效和生存质量。结果 治疗后， 6 h以内组 GQOLI-47量表各指标评分结果均明显高于其他两组，结果差异有统计学意义（ P<0.05）；治疗后， 6 h以内组 NISHH评分为（ 6.27±0.75）分，低于 6～ 24 h组的（ 10.72±2.12）分、 24 h以上组的（ 10.41±1.75）分，结果差异有统计学意义（ t=13.993、 15.376， P=0.000、 0.000）； 6 h以内组患者总有效率为 88%， 6～ 24 h组患者总有效率为 66%， 24 h以上组患者总有效率为 62%， 6 h以内组总有效率高于 6～ 24 h组、 24 h以上组，结果差异有统计学意义（ χ2=6.83、 26.81， P=0.009、 0.000）。结论 高血压脑出血患者在发病后 6 h内接受手术治疗，其治疗有效性更好，且有助于患者生活质量和神经功能的改善。  　　 [关键词 ] 高血压脑出血；手术治疗；时间选择；临床疗效；生活质量  　 [Abstract] Objective To explore the effect of operation time selection on the curative effect and quality of life of patients with hypertensive cerebral hemorrhage. Methods the clinical data of 150 patients with hypertensive intracerebral hemorrhage treated by operation from January 2018 to December 2019 were analyzed retrospectively. The operation time of the patients was within 6 hours (50 cases), 6-24 hours (50 cases) and more than 24 hours (50 cases). The clinical efficacy and quality of life of the three groups were compared and analyzed. Results after treatment, the scores of gqoli-47 were significantly higher than those of the other two groups within 6 hours (P < 0.05); after treatment, the scores of nishh were (6.27 ± 0.75) in the group within 6 hours, lower than (10.72 ± 2.12) and (24) in the group within 6 hours The difference was statistically significant (t = 13.993, 15.376, P = 0.000, 0.000); the total effective rate was 88% in the group within 6 hours, 66% in the group within 6-24 hours, 62% in the group above 24 hours, and higher in the group within 6 hours than in the group within 6-24 hours The difference was statistically significant (χ 2 = 6.83, 26.81, P = 0.009, 0.000). Conclusion the patients with hypertensive cerebral hemorrhage received surgery within 6 h after the onset of the disease, which is more effective and helpful to improve the quality of life and neurological function of the patients.