摘要
目的探讨主髂动脉闭塞症经皮血管腔内支架成形术治疗后的结局及护理干预方法。方法回顾性分析2008年10月—2012年10月本院收治的38例主髂动脉闭塞症患者的临床资料,总结其术后结局、护理要点及护理方法。结果本组患者中35例成功完成介入手术治疗,1例术中髂动脉扩张时出现髂动脉破裂,立即中转行开放手术进行动脉修补及血管重建术;2例介入手术未成功。36例患者接受护理干预,2～5 d出院,平均3.2 d。所有患者出院前下肢缺血症状、平均跛行距离、患肢平均踝肱指数均明显改善;围术期及术后不良事件发生情况减少;相关并发症经相应处理均好转。结论经皮血管腔内支架成形术治疗主髂动脉闭塞症临床护理至关重要,只有抓住护理重点并采用科学的护理措施和合理的观察辅导手段才能有效地保障患者手术成功及顺利康复。
Objective To investigate the outcome and nursing intervention on arteries endovascular stenting in the treatment of aortoiliac occlusive disease.Methods Clinical data of 38 patients with aortoiliac occlusive disease admitted to our hospital from October 2008 to October 2012 were retrospectively analyzed to summarize treatment outcome,nursing essentials and methods.Results 35 patients had successful interventional operation,and one case had iliac artery rupture and was immediately converted to open surgery and iliac artery repairing.Two cases had unsuccessful interventional operation.36 cases were given nursing intervention for 2 to 5 days,with an average of 3.2 days.All the patients were improved in lower limb ischemia,walking distance and ipsilateral ankle-brachial ratio.Perioperative adverse reactions were also reduced and related complications were improved after treatment.Conclusion Arteries endovascular stenting is of great importance in treating aortoiliac occlusive disease.We should understand the nursing essentials and adopt scientific nursing interventions and reasonable observation to guarantee a successful operation and smooth recovery.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第27期3234-3236,共3页
Chinese General Practice
关键词
血管成形术
动脉闭塞性疾病
治疗结果
护理
Angioplasty
Arterial occlusive disease
Treatment outcome
Nursing care
