THERAPEUTIC EFFICACY OF HOMOGENIZED AIRWAY NURSING PLUS EVACUATION OF INTRACRANIAL HEMATOMA IN PATIENTS WITH HYPERTENSIVE INTRACEREBRAL HEMORRHAGE

Weijuan Liu^*

Department of Neurosurgery, Funan County People's Hospital, Fuyang, Anhui 236300, China

Introduction: This research was aimed at clarifying the therapeutic efficacy of homogenized airway nursing plus evacuation of intracranial hematoma in patients with hypertensive intracerebral hemorrhage (HICH). 

Materials and methods: The study participants were 128 HICH patients treated on our hospital. Of them, 61 patients (control group, CG) received routine nursing and 67 patients (research group, RG) received homogenized airway nursing, in addition to evacuation of intracranial hematoma. The following items were observed and compared between the two arms: therapeutic efficacy; incidence of complications; the Acute Physiology and Chronic Health Evaluation II (APACHE II) score and ventilator use time; pre- and post-treatment psychological scores, nutritional indexes, as well as language, comprehension ability and swallowing function. 

Results: An evidently lower incidence of complications was determined in RG compared with CG (P=0.046). After treatment, the ADL score increased in both arms, especially in RG (P<0.05); the MDADI and MMSE scores increased statistically in both arms after treatment, with higher scores in RG (P<0.05); the Alb, Hb, TLC and TP levels rose in both arms, with more evident increases in RG (P<0.05); the APACHE II score and ventilator use time were lower in RG compared with CG (P<0.05), and; the SAS and SDS scores decreased in both arms, especially in RG (P<0.05).

Conclusions: Homogenized airway nursing plus evacuation of intracranial hematoma is higher effective for HICH patients, which is an approach worthy of clinical application.