弹簧圈介入栓塞术治疗颅内动脉瘤患者的全麻护理体会

Nursing Experience of General Anesthesia With Coil Embolization in the Treatment of Intracranial Aneurysm

目的研究和分析弹簧圈介入栓塞术治疗颅内动脉瘤患者的全麻护理体会。方法回顾性分析我院2015年4月—2017年4月收治的64例颅内动脉瘤患者实施弹簧圈介入栓塞术治疗全麻护理过程,麻醉过程中,细致观察患者的体征变化,如出现并发症及时做好正确处理,保证手术正常进行,并在麻醉后密切关注患者的意识恢复情况,探查患者是否存在相应的神经障碍问题。结果治疗成功概率为100%,在手术的过程中1例患者出现动脉瘤破裂情况,2例患者的术中脑血管痉挛,经过填塞动脉瘤和抗血管痉挛治疗之后,患者的没有不适症状。有63例患者的收缩压在85~110 mm Hg之间,只有1例肿瘤破裂的患者收缩压为180 mm Hg以上。结论在对颅内动脉瘤实施弹簧圈介入栓塞术中,运用全麻护理效果显著,减少手术时间,减少麻醉用药时间,缩短手术时间。

Objective To study and analyze the general anesthesia nursing of patients with intracranial aneurysm treated by interventional embolization with coil. Methods A retrospective analysis of 64 cases of patients with intracranial aneurysm coil embolization therapy under general anesthesia implementation of the nursing process in our hospital from April 2015 to April 2017 during the anesthesia process, carefully observe the changes of the patients with complications such as signs, timely and correct treatment, to ensure the normal operation, and pay close attention to the patient＇s consciousness after anesthesia the recovery of patients with neurological disorders, exploration the existence of corresponding problems. Results The treatment success probability of 100%, rupture occurred in 1 patient with intracranial aneurysms in the surgical procedure, postoperative cerebral vasospasm in 2 patients, after filling aneurysms and anti vasospasm treatment, patients with no symptoms. There were 63 patients with systolic blood pressure between 85 - 110 mmHg, and only i patient with tumor rupture had a systolic pressure of more than 180 mmHg. Conclusion The application of general anesthesia in the interventional embolization of intracranial aneurysms can reduce the operation time, shorten the period of anesthesia and shorten the operation time.