摘要
目的 探讨Kano模式对未破裂颅内动脉瘤早期介入栓塞治疗患者术后康复的影响。方法 选取2020年6月-2020年12月河南省人民医院收治的72例未破裂颅内动脉瘤患者为研究对象,所有患者均行介入栓塞术。依据随机数表法分为观察组(n=36)与对照组(n=36)。所有患者均行早期介入栓塞术。对照组患者采用常规治疗。观察组患者采用Kano模式治疗,分析并比较两组患者的住院时间、生活质量、心理状况评分及并发症情况。结果 观察组患者的住院时间为(12.76±2.95)d,明显短于对照组患者的(14.68±3.02)d,差异具有统计学意义(P<0.05);观察组患者的各维度生活质量评分均明显高于对照组,差异具有统计学意义(P<0.05);治疗前两组SAS评分、SDS评分无明显差异(P>0.05),治疗后两组SAS、SDS评分均明显下降,且观察组低于对照组,差异具有统计学意义(P<0.05);观察组共出现2例并发症,其中伤口感染1例,血管痉挛1例。对照组患者共出现8例并发症,其中伤口感染4例,下肢静脉血栓1例,血管痉挛3例;观察组患者并发症发生率为5.56%,明显低于对照组22.22%,差异具有统计学意义(P<0.05)。结论 Kano模式能够促进颅内动脉瘤患者的康复,降低患者的痛苦,提升患者的生活质量,降低并发症的发生,对临床治疗具有重要意义,值得推广及应用。
Objective To investigate the effect of Kano Model on postoperative rehabilitation of patients with unruptured intracranial aneurysms treated with early interventional embolization.Methods Totally 72 patients with unruptured intracranial aneurysms treated in our hospital from June 2020 to December 2020 were selected as the research objects.All patients underwent interventional embolization.According to the random number table method, they were divided into observation group(n=36) and control group(n=36).All patients underwent early interventional embolization.The patients in the control group were treated with routine treatment.The patients in the observation group were treated with Kano mode.The hospitalization time, quality of life, psychological status score and complications of the two groups were analyzed and compared.Results The hospitalization time of the observation group was(12.76±2.95) d, which was significantly shorter than that of the control group(14.68±3.02) d(P<0.05);The scores of all dimensions of quality of life in the observation group were significantly higher than those in the control group(P<0.05);There was no significant difference in SAS and SDS scores between the two groups before treatment(P>0.05).After treatment, the SAS and SDS scores of the two groups decreased significantly, and the observation group was lower than the control group(P<0.05);There were 2 complications in the observation group, including 1 case of wound infection and 1 case of vasospasm.There were 8 complications in the control group, including 4 cases of wound infection, 1 case of lower extremity venous thrombosis and 3 cases of vasospasm;The incidence rate of complications in the observation group was 5.56%,significantly lower than that in the control group(22.22%),the difference was statistically significant(P<0.05).Conclusion Kano model can promote the rehabilitation of patients with intracranial aneurysms, reduce their pain, improve their quality of life and reduced the occurrence of complications.It is of great s
作者
魏艳鸽
冯英璞
申静敏
李天晓
WEI Yan-ge;FENG Ying-pu;SHEN Jing-min;LI Tian-xiao(The First Ward of Cerebrovascular Department,Henan Provincial People's Hospital,Zhengzhou 450003,China)
出处
《医药论坛杂志》
2022年第7期20-23,共4页
Journal of Medical Forum
基金
国家重点研发计划课题(2016YFC1300702)。
关键词
Kano模式
颅内动脉瘤
介入栓塞
康复
Kano model
Intracranial aneurysm
Interventional embolization
Recovery
