Nursing Research on Patients with Hypertensive Intracerebral Hemorrhage Based on Fuzzy Neural Network Related Algorithm Under Postural Adjustment

Abstract

Objective: To use the multi-mode fuzzy neural network monitoring measures explored in this project to clarify the trends of rSO2, ICP and CPP in patients with neurological HICH after different postures, and to screen the best nursing position for patients after HICH. Provide a basis for development. Methods: A total of 34 HICH patients admitted to the hospital from January 2017 to December 2018 were included in the study. The patient was placed in the supine position with the head position raised by 0°, 15°, 30°, 45°, 0°, and the interval between different body positions was 5 minutes. Each position was kept for 5 minutes, and the monitoring index values were read after stabilization. EGOS-600A near-infrared tissue blood oxygen parameters non-destructive monitor was used for bedside, dynamic and non-invasive real-time monitoring of rSO2; Codman intracranial pressure monitor was used for continuous dynamic monitoring of ICP; all patients were monitored with ICP and HPM-1205A ECG The monitor measures heart rate (HR), non-invasive blood pressure (BP), and pulse oximetry (SPO2). Results: When the bed angle of the patient was raised by 0°, 15°, 30° and 45°, the ICP value showed a decreasing trend with the elevation of the patient's bed angle. The ICP values were compared at various angles, and the difference was significant. Significance (P = 0.000); MAP value comparison, no significant difference (P = 0.074); CPP value showed an increasing trend with the elevation of the patient's bedside angle, the difference was significant, statistically significant (P = 0.000). There was no significant difference in HR values (P = 0.470). There was no significant difference in SPO2 values (P = 0.780). Conclusion: For patients with HICH with a GCS score of 5 to 12, multi-mode neurological monitoring, supine position elevation of 15°∼30° is a relatively suitable position; HICH patients with NIRS for rSO2 non-invasive monitoring is very Necessary, and should pay more attention to cerebral blood oxygenation changes in patients undergoing medical care after tracheotomy; use multiple modes of monitoring to ensure that patients SaO2, PaO2, MAP, ICP, CPP, and RSO2 are within the normal range. Choosing the most effective and reliable data support for the care and treatment measures that are most beneficial to improve the cerebral ischemia and hypoxia in patients has certain clinical value.