老年颈内动脉狭窄支架植入术后并发症的护理

Nursing of postoperative complications of stent implantation in elderly patients with internal carotid artery stenosis

目的探讨老年颈内动脉狭窄支架植入术患者术后的并发症护理对策。方法在2015年10月-2017年4月于阳春市人民医院接受支架植入术的老年颈内动脉狭窄患者中选出54例随机分成对照组和观察组各27例,对照组给予常规护理,观察组在对照组的基础上给予并发症预见性护理,比较两组并发症发生率、住院时间以及护理满意度。结果观察组并发症发生率为7.41%,低于对照组的29.63%;观察组住院时间为(24.3±4.6)d,短于对照组的(29.6±5.0)d;观察组对护理服务的满意度为100.00%,高于对照组的81.48%,差异均有统计学意义(P<0.05)。结论对于行支架植入的老年颈内动脉狭窄患者围术期采用并发症预见性护理措施有助于更好地预防并发症发生,值得推广。

Objective To summarize the nursing countermeasures of postoperative complications of stent implantation in elderly patients with internal carotid artery stenosis. Methods 54 cases of elderly carotid artery stenosis,accepted stent implantation,were selected from October 2015 to April 2017 in Yangchun People＇s Hospital. The patients were randomly divided into the control group and the observation group,27 cases in each group. The control group was given routine nursing,the observation group was given routine care and predictive care for complications. The complication rate,hospitalization time and nursing satisfaction of the two groups were compared. Results The complication rate of the observation group was7.41%,which was lower than 29.63% of the control group; The hospitalization time of the observation group was（24.3±4.6） d,which was shorter than（29.6±5.0） d of the control group;The satisfaction of nursing service of the observation group was 100.00%,which was higher than 81.48% of the control group.The differences were statistically significant（P〈0.05）. Conclusion The predictive care for complications is helpful to prevent complications in elderly patients with carotid artery stenosis with stent implantation during perioperative period,and it is worth popularizing.