摘要
目的分析接受脑血管数字造影术（DSA）作术前检查的急性缺血性脑血管病变（AICVD）患者在围术期的并发症特征及DSA检查的安全性,探讨预防性措施在AICVD患者的DSA检查中的重要应用价值。方法将于接受DSA检查并被确诊为AICVD患者100例根据其在接受DSA检查时间分为预防组（52例,在分析并发症发生原因基础上制定相应预防措施后检查,检查时间：2014年7月~2015年1月）、常规组（48例,接受常规DSA检查,未针对并发症采取预防措施,检查时间：2014年1月~2014年6月）,对比两组患者围术期的并发症情况、预后结局。结果预防组的穿刺并发症、器械性并发症的发生率、总体并发症发生率均低于常规组（P〈0.05）,在预后方面,根据DSA检查结果制定相应的治疗方案并实施治疗后,预防组患者的总体治疗有效率高于常规组（P〈0.05）。结论 AICVD患者接受DSA检查后并无严重并发症出现,DSA检查安全性较高,而针对在DSA检查中常见的并发症的发生原因,采取相应的预防性措施可有效降低DSA各类并发症机率、并使造影检查的安全性得以提升。
Objective To analyze the acceptance of digital subtraction angiography（DSA） for preoperative acute ischemic cerebrovascular disease（AICVD） complications in patients with features and security DSA check in the perioperative explore preventive measures DSA check AICVD patient of important applications.Methods The hospital accepted and confirmed by DSA AICVD 100 patients based on their time accepting DSA checking into prevention group（52 cases, after the enactment of appropriate preventive measures to check the Causes of complications, based on the examination time ： 2014 From July ~ January 2015）, conventional group（48 patients received conventional DSA examination, did not take preventive measures against complications, check the time ： January 2014 ~ June 2014）, compared two groups of patients with perioperative complications, the prognosis outcome.Results Puncture complications prevention group, the incidence of complications instrument, the overall complication rate was significantly lower than conventional group（P 0.05）, the prognosis, according to DSA test results to develop appropriate treatment programs and implementation of treatment after treatment to prevent patients overall response rate was also significantly higher than the normal group（P 0.05）.ConclusionAICVD patients after receiving DSA inspection no serious complications, DSA check the security is high, but the reason for the occurrence of common complications DSA inspection, to take appropriate preventive measures can effectively reduce the probability DSA all kinds of complications,angiography and security can be improved, it is worth clinical practice.
出处
《中国卫生标准管理》
2015年第29期163-165,共3页
China Health Standard Management
