李海蓉

[摘要] 目的 探讨动脉内接触溶栓即刻支架植入术患者的临床护理效果。 方法 50例急性脑卒中患者根据不同护理方法分为对照组和实验组，对照组采用常规护理，实验组采用围术期护理干预，比较两组护理效果。 结果 实验组护理总有效率92%，明显优于对照组的有效率 76%，差异有统计学意义（P<0.05）；实验组的护理满意率为92%，显著高于对照组的满意率 64%，差异有统计学意义（P<0.05）；实验组患者的知情评分（44.13±2.25）分，护理服务（40.23±1.76）分，改善评分（153.58±4.65）分，显著高于对照组（P<0.05）；实验组的症状评分（63.9±13.4）分，疾病知识评分（65.3±16.1）分，急救管理评分（52.1±10.6）分，日常生活评分（83.9±13.2）分，显著高于对照组（P<0.05）。 结论 颅内血管狭窄是造成缺血性脑卒中常见脑血管意外，患者血管内支架植入术治疗时实施围术期护理干预效果理想，能够降低术后并发症发生率，值得推广使用。

[关键词] 动脉内接触溶栓即刻支架植入术；围术期护理；护理效果；满意率

[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2015）21-0147-03

[Abstract] Objective To investigate the clinical nursing effect of intra-arterial thrombolysis immediate contact with stent implantation. Methods A total of 50 patients with acute stroke were divided into the control group and the experimental group according to the different care programs， the control group was treated with conventional care， the experimental group was treated with perioperative nursing intervention， the nursing effect were compared between two groups. Results The nursing effective rate of experimental group was 92%，was significantly better than the control group（76%），the difference was significant between two groups（P<0.05）； The nursing satisfactory rate of experimental group was 92%， was significantly higher than the control group（64%），the difference was significant between two groups（P<0.05）； the informed rated score was （44.13±2.25） points， care score was （40.23±1.76） points， improvement score was （153.58±4.65） points in experimental group， were significantly higher than those in the control group（P<0.05）； the symptom score was （63.9±13.4） points， the disease knowledge score was （65.3±16.1） points， the emergency management score was （52.1±10.6） points， the daily life score was（83.9±13.2） points in the experimental group， were significantly higher than those in the control group （P<0.05）. Conclusion Intracranial stenosis is caused by ischemic stroke vascular accident， the perioperative nursing intervention for the patient vascular stenting implementing ideal have good effect，and can reduce the incidence of postoperative complications， should be introduced.

[Key words] Intra-arterial thrombolysis immediate contact with stent implantation； Perioperative nursing； Nursing effect； Satisfactory rate

脑血栓是临床上常见的疾病，发病率较高，且随着人们生活节奏的加快其发病率出现上升趋势。根据相关数据结果显示[1]：脑血栓发病率占脑卒中的60%～70%。目前，临床上对于颅内动脉急性血栓尚缺乏理想的治疗方法，常规方法更多以动脉内接触溶栓术为主，这种方法虽然能够改善患者症状，但是部分患者由于病理基础伴有血管局部狭窄，使得患者溶栓后再次血栓形成发生率较高。随着医疗技术的飞速发展，颅内支架的出现使得患者溶栓后直接放置支架治疗狭窄成为可能[2]。因此，临床上患者溶栓后即刻行支架植入术时，加强其护理具有重要意义。为探讨动脉内接触溶栓即刻支架植入术患者的临床护理方法及护理效果，选择2013年4月～2014年4月我院收治的50例急性脑卒中患者进行分析，现报道如下。

1 资料与方法

1.1一般资料

选择我院收治的50例急性脑卒中患者，根据不同护理方案将患者分为对照组和实验组。实验组25例，男15例，女10例，年龄45.8～78.9岁，平均（65.7±3.1）岁，患者从发病到入院溶栓时间1.1～15.9 h，平均（4.2±1.1）h；……