症状性脑动脉狭窄血管内支架成形术术前术后的护理体会

Nursing of patients with symptomatic intracranial stenosis treated by intracranial stenting

目的总结和探讨血管内支架成形术治疗症状性脑动脉狭窄的临床护理问题。方法回顾和分析34例症状性脑动脉狭窄患者血管内支架成形术的术前、术中和术后护理工作。结果34例症状性脑动脉狭窄患者行38处血管内支架成形术,成功置入37枚支架。手术成功率97.37%;术中1例出现血管痉挛,1例出现造影剂过敏;术后2例手术穿刺点血肿,1例出现高灌注综合征,全部病例经治疗痊愈出院。结论术前认真做好相关准备及心理护理,术中和术后密切观察病情变化及细致的护理是预防和减少并发症,提高手术成功率的关键。

Objective To summarize and explore perioperative Clinical nursing experiences of intravaseular stenting for patients with symptomatic intraeranial stenosis. Methods Clinical nursing care in Pre-operation, interoperation and post-operation of intravascular stenting for 34 patients with symptomatic intraeranial stenosis were retrospectively analysed. Results Thirty-seven stents were placed into 38 arteries of 34 patients with symptomatic intraeranial stenosis. The successful rate of operation was 97.37%. Angiospasm occurred in 1 patient and radiopaque materials hypersuseeptibility occurred in 1 patient during operation, respective. Two patients had hematomas in puncturation location and 1 patient had hypertransfusion syndrome in post-operation. All the patients were cured. Conclusion Adequate preoperative preparations and mental nursing, rigorous observation of condition changes and careful nursing during the operation and post-operation can effectively reduce complications and improve achievement ratio of operation.