摘要
目的 探究颈动脉重建术治疗颈动脉瘤患者护理配合临床价值。方法 选取我院2019年1月至2021年10月42例接受颈动脉重建术治疗的颈动脉瘤患者为研究对象,以随机数字表法分为对照组、观察组,各21例,分别实施常规护理配合、综合护理配合,比较两组患者治疗时间、护理前后情绪状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、认知功能[简易智力状态检查量表(MMSE)]、日常生活能力[Barthel指数量表(BI)]。结果 观察组颈动脉血管阻断时间为(11.10±1.96)min,较对照组(12.33±1.24)min短,比较差异有统计学意义(P <0.05);护理前两组SAS、SDS评分相近,比较差异无统计学意义(P> 0.05);护理后观察组SAS、SDS评分较对照组低,比较差异有统计学意义(P <0.05);护理前两组MMSE评分相近,比较差异无统计学意义(P> 0.05);护理后观察组MMSE中定向力、记忆力、注意力和计算力、回忆能力、语言能力评分均较对照组高,比较差异有统计学意义(P <0.05);护理前两组BI评分相近,比较差异无统计学意义(P> 0.05);护理后观察组BI评分较对照组高,比较差异有统计学意义(P <0.05)。结论 在对颈动脉瘤应用颈动脉重建术护理配合中,应用综合护理配合方案,可缩短颈动脉血管阻断时间,改善患者情绪状态、认知水平及日常生活能力,效果显著。
Objective To explore the clinical value of carotid artery reconstruction in the treatment of carotid aneurysm. Methods A total of 42patients with carotid aneurysms who received carotid artery reconstruction in our hospital from January 2019 to October 2021 were selected as the research objects, and divided into the control group and the observation group by random number table method, 21 cases in each group, and the control group and the observation group were given routine nursing cooperation and comprehensive nursing cooperation, respectively. The treatment time, emotional status [self-rating anxiety scale(SAS), self-rating depression scale(SDS)], cognitive function(mini-mental state examination,MMSE) and daily living ability(Barthel index, BI). Results The carotid blood vessel occlusion time was(11.10±1.96) min, less than the control group(12.33±1.24), comparative statistical significance(P<0.05). The SAS and SDS scores were similar in the first two nursing groups, there was no statistical significance(P>0.05). The SAS and SDS scores were lower compared with the control group, comparative statistical significance(P<0.05). The MMSE scale were similar, there was no statistical significance(P>0.05). The orientation, memory, attention, and computation,recall, and language ability scores were higher in the MMSE scale of the observation group compared with the control group, comparative statistical significance(P<0.05). The BI score was similar in the first two nursing groups, there was no statistical significance(P>0.05). The BI score was higher in the observation group compared with the control group, comparative statistical significance(P<0.05). Conclusion In the application of carotid reconstruction, the comprehensive nursing coordination scheme can shorten the carotid vascular blocking time, improve the emotional state,cognitive level and daily life ability.
作者
林丽琼
LIN Liqiong(Department of Vascular Surgery,the First Affiliated Hospital of Fujian Medical University,Fujian 350004,China)
出处
《中国医药指南》
2022年第11期176-179,共4页
Guide of China Medicine
关键词
颈动脉瘤
颈动脉重建术
护理配合
Carotid aneurysm
Carotid revascularization
Nursing coordination
