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经桡动脉路径行神经介入治疗患者的围术期护理研究进展

Research progress in perioperative nursing for patients undergoing neurointerventional therapy via radial artery access
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摘要 随着介入微创治疗技术的发展,经桡动脉穿刺入路行神经介入治疗的技术在临床中的应用效果优势凸显,与以往经股动脉穿刺入路相比,患者有更好的舒适度和接受意愿,术后并发症减少,提高了诊疗质量。但围术期护理措施一直是基于冠状动脉介入治疗的方法,其神经介入治疗的措施还处于经验总结阶段,尚缺乏经桡动脉路径的神经介入围术期护理相关指南性文件。现就经桡动脉穿刺行神经介入治疗的围术期护理方法进行综述,包括选择桡动脉穿刺入路的优势分析、术前护理评估的重点、术中的护理对策、术后并发症的防治等,旨在为临床护理工作提供循证依据。 In recent years,with the rapid development of minimally-invasive interventional therapy technology,the effectiveness of neurointerventional therapy through radial artery puncture has been highlighted in clinical application.Compared with the commonly-used femoral artery puncture,transradial access can let the patients have a better comfort and willingness to accept the operation,which can also reduce postoperative complications and improve the quality of diagnosis and treatment.However,the perioperative nursing measures have always been based on the measures used in coronary interventional therapy,the nursing measures of neurointerventional therapy are still in the experience summary stage,and there is still a lack of unified,normative and guiding documents for formulating the clinical nursing care.This paper reviews the perioperative nursing measures of neurointerventional procedures via radial artery puncture,focusing on the advantages of radial artery puncture approach,the key points of preoperative care assessment,the intraoperative nursing strategy,the prevention and treatment of postoperative complications,etc.so as to provide evidence-based references for clinical nursing practice.
作者 潘文龙 王芳 罗永春 PAN Wenlong;WANG Fang;LUO Yongchun(Department of Neurosurgery,Seventh Medical Center of the Chinese People′s Liberation Army General Hospital,Beijing 100700,China)
出处 《介入放射学杂志》 CSCD 北大核心 2024年第10期1142-1146,共5页 Journal of Interventional Radiology
关键词 桡动脉 脑血管 介入 护理 研究进展 radial artery cerebral vessel intervention nursing research progress
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