动脉内接触溶栓即刻支架植入术患者的围术期护理

Perioperative nursing intervention for intra-arterial thrombolysis imme-diate contact with stent implantation

目的探讨动脉内接触溶栓即刻支架植入术患者的临床护理效果。方法 50例急性脑卒中患者根据不同护理方法分为对照组和实验组,对照组采用常规护理,实验组采用围术期护理干预,比较两组护理效果。结果实验组护理总有效率92%,明显优于对照组的有效率76%,差异有统计学意义(P<0.05);实验组的护理满意率为92%,显著高于对照组的满意率64%,差异有统计学意义(P<0.05);实验组患者的知情评分(44.13±2.25)分,护理服务(40.23±1.76)分,改善评分(153.58±4.65)分,显著高于对照组(P<0.05);实验组的症状评分(63.9±13.4)分,疾病知识评分(65.3±16.1)分,急救管理评分(52.1±10.6)分,日常生活评分(83.9±13.2)分,显著高于对照组(P<0.05)。结论颅内血管狭窄是造成缺血性脑卒中常见脑血管意外,患者血管内支架植入术治疗时实施围术期护理干预效果理想,能够降低术后并发症发生率,值得推广使用。

Objective To investigate the clinical nursing effect of intra-arterial thrombolysis immediate contact with stent implantation. Methods A total of 50 patients with acute stroke were divided into the control group and the exper- imental group according to the different care programs, the control group was treated with conventional care, the exper- imental group was treated with perioperative nursing intervention, the nursing effect were compared between two groups. Results The nursing effective rate of experimental group was 92% ,was significantly better than the control group （76%）,the difference was significant between two gTOUpS（P〈0.05）; The nursing satisfactory rate of experimental group was 92%, was significantly higher than the control group （64%）, the difference was significant between two groups （P〈 0.05）; the informed rated score was （44.13±2.25） points, care score was （40.23±1.76） points, improvement score was （153.58±4.65） points in experimental group, were significantly higher than those in the control group（P〈0.05）; the symptom score was （63.9±13.4） points, the disease knowledge score was （65.3±16.1） points, the emergency management score was （52.1±10.6） points, the daily life score was（83.9±13.2） points in the experimental group, were significantly higher than those in the eontrol group （P〈0.05）. Conclusion Intraeranial stenosis is caused by ischemic stroke vascular accident, the perioperative nursing intervention for the patient vascular stenting implementing ideal have good effect, and can reduce the incidence of postoperative complications, should be introduced.