腹主动脉瘤腔内隔绝术与传统手术后的护理特点比较

A COMPARATIVE STUDY OF NURSING IN PATIENTS UNDERGOING OPEN SURGERY AND ENDOVASCULAR GRAFT EXCLUSION FOR ABDOMINAL AORTIC ANEURYSM

为探索腹主动脉瘤腔内隔绝术与传统经腹手术的护理学差异 ,对 1989年 9月～ 2 0 0 0年 4月手术治疗的 148例腹主动脉瘤进行了回顾性研究 ,其中传统经腹腔或经腹膜后径路腹主动脉瘤切除人工血管重建术 96例 ,腹主动脉瘤腔内隔绝术 5 2例 ,主要对两组间术后的住院时间、卧床时间、镇痛时间和恢复饮食时间进行对比研究。结果发现 ,两组患者术前一般状况无显著差异 ,术后的住院时间、卧床时间、镇痛时间和恢复饮食时间腔内隔绝术组明显缩短。说明在腹主动脉瘤的手术治疗中 ,腔内隔绝术具有术后患者痛苦小、恢复快的优点 ,有助于优化临床护理工作模式 。

To investigate the nursing difference between abdominal aortic aneurysm patients undergone open surgery and endovascular graft exclusion, a comparative study was carried out in two groups of patients with infrarenal abdominal aortic aneurysms ( n =148), either by open surgical approach( n =96) or by endovascular stented graft technology( n =52). Four problems were compared between the two groups: (1) time of hospitalization, (2) dependency on nursing, (3)mobility after surgery, and (4) analgesic requirements. Data were obtained from a designated data sheet.The perioperation condition of the patients had no difference between the two groups, the time of hospitalization, dependency on nursing, mobility after surgery, and analgesic requirements in the endovascular stent repair group was shortened obviously. Analysis of the data can help us optimize the nursing process for patients undergoing open surgery and endovascular graft exclusion.