急性脑梗死患者介入治疗后围术期的护理措施

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[摘要] 目的 探讨急性脑梗死患者在介入治疗围术期的护理措施，观察其临床疗效、评价其应用价值。 方法 对2009年10月～2011年6月在我院进行治疗的76例急性脑梗死患者均进行介入治疗，在围术期对患者采取不同的护理措施，将患者随机分为观察组（n = 38）和对照组（n = 38），对照组患者采用常规护理方法，观察组患者采用综合护理措施，对两组患者的恢复效果、住院时间及患者的满意度等进行比较。 结果 恢复情况：观察组和对照组的总有效率分别为94.74%和76.32%，观察组患者治疗有效率高于对照组患者，差异有统计学意义（P < 0.05）；患者满意度：观察组患者满意度为92.11%，对照组患者满意度为73.68%，观察组患者的满意度好于对照组患者，差异有统计学意义（P < 0.05）；住院时间：观察组患者平均住院时间为（14.95±2.43）d，对照组患者的平均住院时间为（20.04±2.36）d，观察组患者住院时间短于对照组患者，差异有统计学意义（P < 0.05）。 结论 综合护理措施能够提高急性脑梗死患者介入治疗后围术期的有效率及满意度，同时缩短了患者的住院时间，其临床效果较好，具有很好的应用价值。

[关键词] 急性脑梗死；介入治疗；综合护理；临床疗效

[中图分类号] R473.7 [文献标识码] C [文章编号] 1673-7210（2012）08（b）-0129-03

Nursing intervention in the interventional treatment of patients with acute cerebral infarction

LI Yuxing

Department of Neurosurgery, the Center Hospital of Nanyang City, He'nan Province, Nanyang 473000, China

[Abstract] Objective To investigate nursing intervention in the interventional treatment of patients with acute cerebral infarction, and observe the clinical curative effect and evaluate its application value. Methods There were 76 patients treated by the interventional treatment in our hospital from October 2009 to June 2011 who were given different nursing interventions in the preoperative period. All patients were divided into control group and observation group with 38 cease in each group. The control group was treated by conventional care method; the observation group was treated by comprehensive nursing measures, the restoring effect, and length of time the patients and the satisfaction of the two groups were observed. Results The restoring effect: the total effective rate of the observation group and control group were 94.74% and 76.32%, the observation group patients therapy was higher than those in the control group (P < 0.05); the satisfaction of patients: the satisfaction of the observation group and the control group were 92.11% and 73.68% (P < 0.05); the length of time of the observation group and the control group were (14.95±2.43) and (20.04±2.36) days (P < 0.05). Conclusion Comprehensive care can improve the preoperative efficiently and satisfaction in acute cerebral infarction patients after interventional treatment, while reducing the patient's hospital stay, the clinical effect is better, which has the great application value.

[Key words] Acute cerebral infarction; Interventional treatment; Comprehensive care; Clinical effect

随着老龄化的发展，脑血管疾病发生率逐渐升高，急性脑梗死是常见的脑血管疾病，主要是由于脑组织局部血液循环障碍而发生的脑组织缺血、缺氧及坏死，其发生的主要原因是脑组织的动脉发生粥样硬化继而形成血栓，使得管腔狭窄而引起脑供血不足而发病[1]。目前对于急性脑梗死患者的治疗主要有药物治疗，外科手术治疗及介入治疗，介入治疗创伤较小，是一种介于内科与外科之间对阻塞血管进行再通的技术手段，本次研究主要对于76例急性脑梗死患者进行介入治疗后采用相应的护理措施，探讨综合护理措施的临床疗效。