摘要
目的：探讨双把Perclose血管闭合器在主动脉夹层介入治疗中的有效性、安全性及护理方法。方法：选择我院2013年1月~2015年2月经过主动脉增强CT检查确诊并接受介入治疗的主动脉夹层DebakeyⅢ型的158例患者,根据缝合方式分为Perclose血管闭合组82例和外科缝合组76例。对两组患者的手术治疗、止血、下肢制动、住院时间、舒适度以及并发症等指标进行分析,并探讨有效的护理措施。结果：Perclose血管缝合组的手术时间、下肢制动时间、住院天数、手术创口处理时间较外科缝合组明显缩短（P〈0.01）,迷走神经反射的发生率明显减少（P〈0.01）,局部血肿、渗血、感染的发生率比较差异无统计学意义（P〉0.01）,血管闭合组术后舒适度明显增加（P〈0.01）。结论：Perclose血管闭合器应用于主动脉夹层DebakeyⅢ型带膜支架植入术安全有效,能缩短手术操作时间,术后恢复快,减少手术相关并发症。护理中应关注患者血压变化、肢体制动时间;而Perclose血管缝合组更应关注股动脉血管杂音,防迟发性出血的发生,加强水化治疗护理,注重健康宣教。
Objective ：To explore the effectiveness, safety and nursing experience using double Perclose vascular closure device in the interventional treatment of aortic dissection. Methods：IS8 patients who were diagnosed of aortic dissection （ Debakey type III） and treated in our hospital from January 2013 to February 2015 were divided into the Perclose vascular closure group （ n = 82 ） and surgical suture group （ n = 76） according to the suture methods. The outcome of surgical treatment, hemostasis, lower extremity immobilization, length of stay in hospital,comfort degree and complications of the patients were analyzed in the two groups so as to find effective nursing measures. Results：The time of operation and lower extremity immobilization was significantly shorter in the Perclose vascular suture group than the surgical suture group （P 〈 0. 01） ;the incidence of vagus reflex decreased significantly （P 〈 0. 01） ;the differences in the comparison of the incidence of local hematoma, bleeding and infection were not statistically significant （ P 〉 0. 01 ） ;the degree of postoperative comfort of the patients significantly improved in the Perclose vascular closure group （P 〈 0.01 ）. Conclusion：Application of Perclose vascular closure device is safe and effective in the interventional treatment of patients with aortic dissection and it can shorten the operation time,promote recovery of the patients and reduce the complications.
出处
《齐鲁护理杂志》
2015年第22期7-9,共3页
Journal of Qilu Nursing
基金
江西省卫生计生委科技计划项目(编号:20155083)
