Analysis of Postoperative Nursing Effect of Small Bone Window Approach Combined with Urokinase Perfusion on Patients with Hypertensive Cerebral Hemorrhage under Microscope

  • Yichun Xu
Keywords: Small Bone Window Approach Under Microscope, Urokinase Perfusion, Hypertensive Cerebral Hemorrhage, Postoperative Care

Abstract

To analyze the effect of postoperative nursing of patients with hypertensive cerebral hemorrhage under the
microscope through small bone window approach combined with urokinase perfusion. The selected patients
were all 80 patients with sperm-hypertensive cerebral hemorrhage admitted in our hospital from July 2018 to
January 2020. According to the difference in treatment methods between the two groups, the patients were
divided into a research group and a control group. There were 40 cases in each group. The patients in the control
group were treated with simple traditional big bone flap craniotomy hematoma removal. In the study group, the
small bone window approach under the microscope was combined with urokinase perfusion therapy, and
effective postoperative care was performed at the same time. Compare the treatment status of the two groups of
patients with the effect of postoperative care. The GOS scores of the two groups of patients showed that the
score of 4-5 points in the study group was 77.50%. It is significantly higher than 57.50% of patients in the
control group. The difference in comparison data between the groups was statistically significant P <0.05. There
were 37 patients (92.5%) in the study group with postoperative mobility III or higher. The control group had
only 19 patients (47.5%). The difference in comparison data between the groups was statistically significant P
<0.05. The complete hematoma clearance rate of the study group was 82.5%. The complete hematoma clearance
rate of the control group was 10.0%. The difference in comparison data between the groups was statistically
significant P <0.05. The incidence of postoperative complications in the study group was 10.0%. The incidence
of postoperative complications in the control group was 35.0%. The difference in comparison data between the
groups was statistically significant P <0.05. The small bone window approach combined with urokinase
perfusion under the microscope has a significant effect on the postoperative care of patients with hypertensive
cerebral hemorrhage. It can effectively improve the prognosis of patients, reduce the occurrence of
complications, and improve the clearance rate of hematoma, which is worthy of popularization and use.

Published
2020-04-01