综合干预在颅内动脉机械取栓术后患者中的应用效果评价

Evaluation of Postoperative Comprehensive Intervention on Acute Circulation Occlusion after Mechanical Thrombectomy

目的:观察综合干预对颅内动脉机械取栓治疗术后患者的应用效果。方法:连续入选2015年1月至2018年9月因后循环大血管急性闭塞,于我院行颅内动脉机械取栓术的患者83例,并将上述患者采用简单随机分组方法分为两组,观察组患者(n=42)应用常规护理+综合干预,对照组患者(n=41)仅应用常规护理。比较两组患者并发症发生率、平均住院时间。结果:观察组患者的并发症发生率、平均住院时间明显优于对照组,分别为10.24%vs 25.26%、10.6±2.5vs14.3±3.2,(P<0.05),差异有统计学意义。结论:对后循环大血管急性闭塞接受应用Solitaire AB支架机械取栓的患者,术后施行综合干预可有效降低并发症发生率,缩短平均住院日。

Objective: To observe the effect of postoperative comprehensive intervention on acute occlusion of large circulation vessels after mechanical embolization of intracranial arteries. Methods: From January2015 to September 2018,83 patients with acute occlusion of posterior circulation great vessels underwent mechanical embolization of intracranial artery in our hospital were randomly divided into two groups. Patients in observation group (n = 42) received routine nursing plus comprehensive intervention,while those in control group (n = 41) received routine nursing only. The incidence of complications,the average length of stay and the satisfaction rate of nursing care between the two groups were compared. Results: The incidence rate and average hospitalization time of the observation group were significantly better than those of the control group,which were 10.24% vs 25.26%,10.6 + 2.5 vs 14.3 + 3.2,P < 0.05,respectively. Conclusion: For patients with acute posterior circulation occlusion undergoing mechanical thrombectomy with Solitaire AB stent,postoperative comprehensive intervention can effectively reduce the incidence of complications and shorten the average hospital stay.