颈动脉支架置入术中并发症及护理对策

Investigation of complications during procedures in carotid artery stenting and corresponding nursing countermeasures

目的：探讨颈动脉支架置入术治疗颈动脉狭窄并发症的危险因素及护理对策。方法：选择宁波市第一医院2012年3月至2015年3月68例颈动脉狭窄度为70%-95%,行颈动脉支架置入术患者,分析发生术中并发症的相关因素及护理对策。结果：本组68例患者手术成功率100%,术中出现血管迷走神经反射及低血压9例,高灌注综合征2例,血管痉挛2例,轻度神经功能缺损1例,经积极治疗和护理好转。结论：充分认识引起并发症的危险因素,熟悉并发症的临床表现及治疗.及时实施护理干预,是提高手术成功率及降低并发症有效保障。

[ Objective] To investigate the potential risk factors and nursing countermeasures for complications during procedures in carotid artery stenfing （CAS）. [ Method ] 68 patients with internal carotid artery stenosis of 65 % to 95 % collected from March 2012 to March 2015 were treated by CAS. The nursing management throughout the prdure are discussed. All the po- tential risk factors and nursing for complications during procedure were analyzed. [ Result] Achievement ratio of CAS operation of all 68 patients was 100%. 9 patients suffered nervous reflex and hypotension, 2 patients suffered cerebral hyperperfusion syndrome, 2 patients suffered vasospasm, and 1 case suffered mild residual neurological deficits during the carotid procedures. All the complications were treated and with immediate medications and effective nursing countermeasures. [ Conclusion] It is important for medical- intervention nurses to have the full realization to the potential risks for complications, be familiar with clinical manifestation and treatment of carotid artery stenosis, and perform nursing intervention timelywhich will benefit for promoting success rate of operation and relieving complications.