Open Access

ARTICLE

Analysis on Characteristics and Nursing Points of Surgical and Interventional Treatment for Elderly Cerebral Aneurysm

by Haiying You, Jing Li, Xiaojie Wang, Guodong Zhang, Juan Yang

1 Department of Intervention Nursing, Liaocheng Second People’s Hospital, Liaocheng, China
2 Department of Nephrology Nursing, The Eighth People’s Hospital of Qingdao, Qingdao, China
3 Department of Respiratory Medicine Nursing, The Eighth People’s Hospital of Qingdao, Qingdao, China
4 School of Computer Science and Engineering, Nanyang Technological University of Singapore, Singapore
5 Department of Cardiothoracic Surgery, Qingdao Hospital of Traditional Chinese Medicine (Qingdao Hiser Hospital), Qingdao, China

* Corresponding Author: Juan Yang. Email:

Oncologie 2020, 22(4), 235-244. https://doi.org/10.32604/oncologie.2020.014123

Abstract

Objective. The purpose was to explore the characteristics and nursing points of surgical and interventional treatment for elderly cerebral aneurysm. Methods. 100 elderly patients with cerebral aneurysm treated in our hospital from January 2017 to December 2019 were selected, and divided into craniotomy group (40 patients with neurosurgical clipping) and interventional surgery group (60 patients with endovascular interventional embolization) according to the treatment method to compare the operation time, hospitalization time, hospitalization expenses, degree of brain injury, complications and prognostic scores of the patients in two groups. Meanwhile, the relationship between the factors (age, aneurysm size, location) and prognosis of patients was analyzed, and the nursing points were summarized. Results. (1) The operation time and hospitalization time of the interventional surgery group were lower than those of the craniotomy group, but the hospitalization expenses were higher than those of the craniotomy group (P = 0.000). (2) The brain injury indexes of the two groups at 6h and 24h after operation were higher than those before operation, and the indexes of the craniotomy group were higher than those of the interventional surgery group (P = 0.00). (3) The overall complication rate was 16.67% in the interventional surgery group, which was lower than 37.50% in the craniotomy group (P = 0.005). (4) The good recovery rate of GCS score in interventional surgery group was 63.33%, which was higher than 42.50% in craniotomy group (P = 0.040). (5) Univariate analysis. The aneurysm location, preoperative Hunt-Hess grade and combined hyperlipidemia were related to the prognosis of patients (P < 0.05). (6) Multivariate analysis. The aneurysm location and preoperative Hunt-Hess grade were independent factors affecting the prognosis of patients (P < 0.05). Conclusion. Interventional surgery for elderly cerebral aneurysm is superior to craniotomy in reducing surgical trauma and accelerating postoperative recovery, but the hospitalization expenses are higher than those of craniotomy. Aneurysm location and preoperative Hunt-Hess grade were independent factors influencing the prognosis of patients. Postoperative nursing for elderly cerebral aneurysm should start from basic nursing, psychological nursing and symptomatic nursing.

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