[1]刘云娥,王箐.临床护理路径管理对颈动脉狭窄支架成形术患者的干预效果[J].西部中医药,2022,35(07):122-125.[doi:10.12174/j.issn.2096-9600.2022.07.32]
　LIU Yun'e,WANG Jing.Intervention Effects of Clinical Nursing Pathway Management on Patients with Carotid Stenosis Stent Plastic Surgery[J].Western Journal of Traditional Chinese Medicine,2022,35(07):122-125.[doi:10.12174/j.issn.2096-9600.2022.07.32]
点击复制

临床护理路径管理对颈动脉狭窄支架成形术患者的干预效果
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年07期
页码:
122-125
栏目:
出版日期:
2022-07-15

文章信息/Info

Title:
Intervention Effects of Clinical Nursing Pathway Management on Patients with Carotid Stenosis Stent Plastic Surgery
作者:
刘云娥, 王箐
石家庄市第一医院神经内科，河北 石家庄 050011
Author(s):
LIU Yun'e, WANG Jing
Department of Neurology, Shijiazhuang the First Hospital, Shijiazhuang 050011, China
关键词:
颈动脉狭窄; 血管内治疗; 临床护理路径; 并发症; 炎性反应
Keywords:
carotid stenosis; endovascular therapy; clinical nursing pathway; the complications; inflammatory reaction
分类号:
R543.4
DOI:
10.12174/j.issn.2096-9600.2022.07.32
文献标志码:
B
摘要:
目的观察临床护理路径管理对颈动脉狭窄行血管内支架植入术后患者的干预效果。 方法将颈动脉狭窄行血管内支架成形术患者60例随机分为观察组与对照组各30例。对照组给予常规护理，观察组应用临床护理路径管理。护理前后采用免疫比浊法检测血清超敏C-反应蛋白（high-sensitivity C-reactive protein，hs-CRP），酶联免疫吸附法检测血清白细胞介素6（interleukin-6，IL-6）水平。比较两组患者护理质量评分与术前焦虑评分及术后患者谵妄、高灌注综合征、脑血栓形成、上消化道出血、住院时间、住院费用。 结果干预后观察组患者血清hs-CRP、IL-6水平降低，与对照组比较差异有统计学意义（P＜0.05）。干预后观察组患者临床基础护理、专项护理、急救物品准备、护理记录、重症患者观察、病房环境评分均高于对照组，差异有统计学意义（P＜0.05）。观察组患者术前焦虑评分、术后谵妄、高灌注综合征、脑血栓形成、上消化道出血发生率降低，住院时间与住院费用减少，两组比较差异有统计学意义（P＜0.05）。 结论临床护理路径管理可以有效提高颈动脉狭窄患者支架成形术后护理质量，降低术后相关并发症，减少住院时间与住院费用，下调围手术期氧化应激反应。
Abstract:
ObjectiveTo observe the effects of clinical nursing pathway management in the intervention for carotid stenosis patients undergoing endovascular stent implantation. MethodsSixty patients were randomized into the observation group and the control group, 30 cases in each group. The control group received conventional care, and the observation group clinical nursing pathway management. Before and after the care, immunoturbidimetry was used to detect hs-CRP, and ELISA was applied to measure the levels of IL-6. To compare the scores of nursing quality, preoperative anxiety score, postoperative delirium, hyperperfusion syndrome, cerebral thrombosis, upper gastrointestinal hemorrhage, hospital stays and hospitalization expense between both groups. ResultsAfter the intervention, the levels of hs-CRP and IL-6 lowered in the observation group, and the difference had statistical meaning when compared with these of the control group (P<0.05). After the intervention, the observation group was higher than the control group in the scores of clinical basic nursing, specific care, first aid supplies, nursing record, observation of critical patients and ward environment, and the difference had statistical meaning (P<0.05). Preoperative anxiety scores, and the incidences of postoperative delirium, hyperperfusion syndrome, cerebral thrombosis as well as upper gastrointestinal hemorrhage reduced, hospitalization stays and hospitalization expense lowered, and the difference was statistically significant (P<0.05). ConclusionClinical nursing pathway management could effectively lift nursing quality in carotid stenosis patients after endovascular stent implantation, reduce postoperative related complications, reduce hospitalization stays and hospitalization expense, and down regulate oxidative stress during perioperative period.

备注/Memo

备注/Memo:
刘云娥（1973—），女，主管护师。研究方向：神经内科临床护理。河北省卫生和计划生育委员会科研项目（20181006）。
更新日期/Last Update: 2022-07-15