风险预控结合关键环节干预在急性脑梗死血管介入术患者围术期的应用效果
Application effect of risk pre-control combined with key link intervention in perioperative period of patients with acute cerebral infarction after vascular intervention
慕楠 1张瑶 1郝婉婷 1党双双 2郭建英3
作者信息
- 1. 西京医院军人医疗中心,西安 710032
- 2. 西京医院心脏内科,西安 710032
- 3. 空军军医大学第一附属医院教研室,西安 710032
- 折叠
摘要
目的:探讨风险预控结合关键环节干预在急性脑梗死(acute cerebral infarction,ACI)血管介入术患者围术期的应用效果.方法:选取2022年1月―2023年12月收治的108例在本院行血管介入术的ACI患者,按照随机数表法分为观察组和对照组各54例,对照组采用常规护理干预,观察组采用风险预控结合关键环节干预,比较两组心理状况[SAS量表及SDS量表]、血压控制情况[收缩压、舒张压]、神经功能[NHISS量表]、认知功能[MoCA量表]、血管再通时间、住院时间、术后并发症.结果:干预后,观察组SAS评分、SDS评分低于对照组;术后3d,观察组收缩压、舒张压低于对照组;干预后,观察组NIHSS评分低于对照组,MoCA评分高于对照组;观察组血管再通时间、住院时间短于对照组;观察组脑出血、皮下血肿、脑栓塞、深静脉血栓、高灌溉综合征等术后并发症总发生率低于对照组.结论:风险预控结合关键环节干预可有效改善ACI血管介入术患者围术期心理状况和血压波动,提高神经功能和认知功能,降低术后并发症的发生,加快术后恢复.
Abstract
Objective To explore the application effect of risk pre-control combined with key link intervention in periopera-tive period of patients with acute cerebral infarction(ACI)after vascular intervention.Methods A total of 108 patients with ACI undergoing vascular intervention in the hospital were enrolled as the research objects between January 2022 and December 2023.They were randomly divided into observation group and control group,54 cases in each group.The control group was given rou-tine nursing,while observation group was given risk pre-control combined with key link intervention.The psychological state[SAS,SDS],blood pressure control(systolic blood pressure,diastolic blood pressure),nerve function[NHISS],cognitive function[MoCA score],vascular recanalization time,hospitalization time and postoperative complications were compared between the two groups.Results After intervention,scores of SAS and SDS in observation group were lower than those in control group.After 3d of surgery,systolic blood pressure and diastolic blood pressure were lower than those in control group,NIHSS score was lower than that in control group,while MoCA score was higher than that in control group,the vascular recanalization time and hospitalization time were shorter than those in control group.The total incidence of postoperative complications(cerebral hemorrhage,subcutane-ous hematoma,cerebral embolism,deep vein thrombosis,high irrigation syndrome,etc)in observation group was lower than that in control group.Conclusion Risk pre-control combined with key link intervention can effectively improve perioperative psychologi-cal state and blood pressure fluctuation,improve nerve function and cognitive function,reduce postoperative complications,and accelerate postoperative recovery in ACI patients after vascular intervention.
关键词
急性脑梗死/血管介入术/风险预控结合关键环节干预/围术期Key words
acute cerebral infarction/vascular intervention/risk pre-control combined with key link intervention/periop-erative period引用本文复制引用
出版年
2024
NETL
NSTL
万方数据