精准血压管理预防烟雾病术后患者脑过度灌注综合征

Prevention of cerebral hyperperfusion syndrome in postoperative Moyamoya patients through precise blood pressure management

目的探讨精准血压管理在预防烟雾病术后患者脑过度灌注综合征中的应用效果。方法将212例烟雾病行颅内外(颞浅动脉-大脑中动脉)血运重建术患者按时间段分为对照组102例、观察组110例;对照组采取神经外科常规护理进行烟雾病术后血压管理,观察组采用精准血压管理模式进行血压管理。比较两组患者术后脑过度灌注综合征发生情况。结果对照组患者脑高灌注综合征发生率为25.49%,观察组为10.91%,两组比较,差异有统计学意(P<0.01)。结论精准血压管理可降低烟雾病术后脑高灌注综合征发生率,有利于患者术后康复。

Objective To explore the effects of precise blood pressure management in preventing cerebral hyperperfusion syndrome in postoperative Moyamoya patients.Methods A total of 212 patients with Moyamoya disease who received intracranial-extracranial vascular bypass(superficial temporal artery-middle cerebral artery)surgery were divided into 2 groups according to hospitalization periods.The control group(n=102)received routine neurosurgical nursing care for postoperative blood pressure management,while the intervention group(n=110)additionally received precise blood pressure management.The incidence rate of postoperative cerebral hyperperfusion syndrome was compared between the two groups.Results The incidence rate of cerebral hyperperfusion syndrome was 25.49%in the control group and 10.91%in the observation group.There was significant difference between the two groups(P<0.01).Conclusion Precise blood pressure management reduces the incidence rate of cerebral hyperperfusion syndrome after extracranial-intracranial bypass surgery for Moyamoya disease,and plays an important role in recovery of patients.