PDCA循环模式在DSA引导下行机械取栓治疗脑卒中患者中的应用
The application of PDCA circulation mode in mechanical thrombectomy under DSA guidance for the treatment of cere-bral infarction patients
王学芹 1高洁雅 1马蓓蓓 1吴冠会2
作者信息
- 1. 南京医科大学第一附属医院介入放射科 江苏 南京 210000
- 2. 江苏省苏州市立医院神经内科 江苏 苏州 215008
- 折叠
摘要
目的 探讨PDCA循环模式在数字减影血管造影(DSA)引导下行机械取栓治疗脑卒中患者中的应用效果.方法 选取 50 例脑卒中患者作为观察组,行PDCA循环模式下DSA引导机械取栓,另选取 50 例脑卒中患者作为对照组,对照组患者均完成常规DSA引导下机械取栓治疗.比较两组患者取栓治疗后血管再通率,取栓治疗前、术后 7 d神经功能[美国国立卫生研究院卒中量表(NIHSS)评分],术后 90 d功能恢复情况[改良Rankin量表(mRs)评分],统计并发症.结果 观察组术后血管再通率高于对照组,差异有统计学意义(P<0.05).治疗前,两组NIHSS评分比较,差异无统计学意义(P>0.05);术后 7 d,两组NIHSS评分降低,且观察组低于对照组,差异有统计学意义(P<0.05).观察组术后90 d功能恢复情况优于对照组,差异有统计学意义(P<0.05).观察组术后出血转化、穿刺点渗血发生率低于对照组,差异有统计学意义(P<0.05).结论 PDCA循环模式在DSA引导下行机械取栓治疗脑卒中患者中的应用效果理想,可提高血管再通率、促进神经功能恢复,且能增加取栓治疗的安全性,减少相关并发症的发生.
Abstract
Objective To explore the application effect of PDCA circulation mode in the mechanical thrombectomy guided by digital subtraction angiography(DSA)for the treatment of cerebral infarction patients.Method A longitudinal controlled study was conducted,selecting 50 patients with cerebral infarction admitted to the hospital from October 2022 to October 2023 as the study group.DSA-guided mechanical thrombectomy under PDCA cycle mode was planned to be performed.In addition,the data of 50 patients with cerebral infarction admitted from September 2021 to September 2022 were collected as the control group.All patients in the control group were completed mechanical thrombectomy under routine DSA guidance.The vascular re-canalization rate between two groups of patients after thrombectomy,neurological function before and 7 days after thrombectomy[National Institutes of Health Stroke Scale(NIHSS)score],functional recovery 90 days after surgery[Modified Rankin Scale(mRs)score]were compared,and complications were calculated.Result The postoperative vascular recanalization rate in the study group was higher than that in the control group(P<0.05).Before treatment,there was no statistical significant difference in NIHSS scores between the two groups(P>0.05).7 days after surgery,the NIHSS scores of the two groups decreased,and the study group was lower than the control group(P<0.05).The functional recovery of the study group after 90 days of surgery was better than that of the control group(P<0.05).The incidence of postoperative bleeding transformation and puncture point bleed-ing in the study group was lower than that in the control group(P<0.05).Conclusion The application of PDCA circulation mode in DSA-guided mechanical thrombectomy for the treatment of cerebral infarction patients has an ideal effect,which can im-prove vascular recanalization rate,promote neurological function recovery,increase the safety of thrombectomy treatment,and reduce the occurrence of related complications.
关键词
脑卒中/机械取栓/数字减影血管造影/PDCA循环/血管再通Key words
Cerebral infarction/Mechanical thrombectomy/Digital subtraction Angiography/PDCA cycle/Vascular re-canalization引用本文复制引用
基金项目
江苏省高层次卫生人才"六个一工程"拔尖人才科研项目(LGY2019015)
出版年
2024
NETL
NSTL
万方数据