循证护理在降低颈动脉狭窄患者支架成形术后脑高灌注的应用

Application of evidence-based nursing in reducing cerebral hyperperfusion in patients with carotid artery stenosis after carotid stenting

目的探讨循证护理在降低颈动脉狭窄患者支架成形术后脑高灌注的应用。方法选取2014年1月至2019年1月在我院行颈动脉狭窄患者支架成形的86例患者,术后所有患者均进行统一治疗方式,根据护理方式的不同,将其随机分为研究组45例和对照组41例,其中对照组接受常规护理干预,研究组接受循证护理,对比两组患者术后脑高灌注的发生率。结果研究组发生CHS率为4.44%(2/45),明显低于对照组的19.51%(8/41),差异有统计学意义(P<0.05)。研究组CAS术后发生不良事件发生率为2.22%(1/45),明显低于对照组的19.51%(8/41),差异有统计学意义(χ^(2)=6.832,P=0.012<0.05)。结论循证护理在颈动脉狭窄患者支架成形术后可降低脑高灌注的发生率。

Objective To explore how to carry out targeted nursing to reduce the occurrence of cerebral hyperperfusion syndrome by applying evidence-based nursing in patients with carotid artery stenosis after stenting.Methods Eighty-six patients with carotid artery stenosis who underwent carotid stenting in our hospital from January 2014 to January 2019 were selected.All patients underwent a unified treatment method after the operation.According to different nursing methods,all patients were randomly divided into the study group(n=45)and the control group(n=41).The control group was received routine nursing intervention,and the study group was received evidence-based nursing.The incidence of postoperative cerebral hyperperfusion was compared between the two groups.Results The incidence of CHS in the study group was 4.44%(2/45),which was lower than that of 19.51%(8/41)in the control group,and the difference between the groups was statistically significant(P<0.05).The adverse event occurrence rate in the study group was 2.22%(1/45),which was significantly higher than that of(19.51%[8/41])in the control group,with significantly difference(χ^(2)=6.832,P=0.012<0.05)Conclusion Evidence-based nursing can reduce the incidence of cerebral hyperperfusion in patients with carotid artery stenosis after stenting.