@Article{oncologie.2020.014123,
AUTHOR = {Haiying You, Jing Li, Xiaojie Wang, Guodong Zhang, Juan Yang},
TITLE = {Analysis on Characteristics and Nursing Points of Surgical and Interventional  Treatment for Elderly Cerebral Aneurysm},
JOURNAL = {Oncologie},
VOLUME = {22},
YEAR = {2020},
NUMBER = {4},
PAGES = {235--244},
URL = {http://www.techscience.com/oncologie/v22n4/40859},
ISSN = {1765-2839},
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.},
DOI = {10.32604/oncologie.2020.014123}
}