摘要
目的探讨CTA与DSA诊断冠状动脉支架植入术后内部再狭窄的意义及护理措施。方法选取本院冠状动脉支架植入术后65例(116枚支架)疑似支架内部再狭窄就诊患者的临床资料,根据护理方法将其划分为两组,观察组患者33例,对照组患者32例。65例患者均行CTA检查,之后行DSA检查。DSA检查期间,对照组接受常规护理措施,观察组在此基础上应用综合围术期护理措施。比较DSA与CTA对65例患者内部再狭窄的阳性诊断率,以及冠状动脉狭窄程度的诊断率。同时,比较两组患者护理干预前后焦虑自评量表(SAS)与抑郁自评分量(SDS)评分,以及术后并发症情况。结果DSA对65例患者内部再狭窄的阳性诊断率70.77%高于CTA的52.31%(P<0.01),对于轻度狭窄的诊断率高于CTA(P<0.05),无狭窄的诊断率低于CTA(P<0.05)。干预后观察组SAS与SDS分值低于对照组(P<0.01)。观察组术后并发症发生率6.06%低于对照组28.13%(P<0.05)。结论DSA在冠状动脉支架植入术内部再狭窄的诊断中具有重要的应用意义,而辅以综合围术期护理措施可以有效保障检查质量。
Objective To explore the significance and nursing measures of DSA in the diagnosis of internal restenosis after coronary stent implantation.Methods The clinical data of 65 patients(116 stents)with suspected stent restenosis after coronary stent implantation in our hospital from August 2019 to July 2021 were analyzed retrospectively.According to the nursing methods,they were divided into two groups,33 patients in the study group and 32 patients in the control group.Results The positive diagnostic rate of DSA in 65 patients with suspected stent restenosis after coronary stent implantation was 70.77%,which was higher than that of CTA 52.31%(P<0.01),the diagnostic rate of mild stenosis was higher than that of CTA(P<0.05),and the diagnostic rate of no stenosis was lower than that of CTA(P<0.05).The scores of SAS and SDS in the study group were lower than those in the control group(P<0.01).The incidence of postoperative complications in the study group was 6.06%lower than 28.13%in the control group(P<0.05).Conclusion DSA has important application significance in the diagnosis of internal restenosis in coronary stent implantation and comprehensive perioperative nursing measures can effectively ensure the quality of examination.
作者
曹春晖
王蓉
王小芳
张娟丽
朱钰
关颖
高登峰
CAO Chunhui;WANG Rong;WANG Xiaofang;ZHANG Juanli;ZHU Yu;GUAN Ying;GAO Dengfeng(Department of Cardiology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710000, China)
出处
《医学影像学杂志》
2022年第3期437-440,共4页
Journal of Medical Imaging
