冉燕?魏化冰

[摘要] 目的 分析下肢閉塞性动脉硬化症介入治疗中延续护理的应用。 方法 选取本院2012年4月～2014年4月期间治疗的86例下肢闭塞性动脉硬化症患者作为研究对象，根据是否采取延续护理分成两组。在介入治疗中，对照组采取常规护理，观察组采取延续护理，包括出院前护理和出院后护理；对比两组患者不同时间点的自我管理水平、生活质量及血管再闭塞、再狭窄发生情况。 结果 入院时，两组患者的自我管理得分差异无统计学意义（P>0.05）；观察组患者在延续护理6个月后的自我管理得分明显比入院时水平高（P<0.05），且与对照组相比差异有统计学意义（P<0.05）；入院时，两组患者的生活质量得分差异无统计学意义（P>0.05）；延续护理3、6、12个月后，观察组患者的生活质量得分均显著高于入院时水平（P<0.05），且与对照组相比差异有统计学意义（P<0.05）；出院12个月随访期间，观察组患者再闭塞发生率为6.98%、再狭窄发生率为16.28%，对照组患者再闭塞发生率为13.95%、再狭窄发生率为32.56%；两组患者之间的血管再闭塞率和再狭窄发生率差异有统计学意义（P<0.05）。 结论 下肢闭塞性动脉硬化症介入治疗中延续护理的效果确切，可显著提高患者的生活质量及自我管理水平，改善预后，病情复发少，临床应用前景广阔。

[关键词] 下肢闭塞性动脉硬化症；介入治疗；延续护理

[中图分类号] R473.6 [文献标识码] A [文章编号] 2095-0616（2017）10-82-04

Application of continuous nursing in interventional treatment of lower limb arteriosclerosis obliterans

RAN Yan WEI Huabing

Department of Thoracic， Vascular， Thyroid， Cardiac Surgery， Shenzhen Second People's Hospital， Guangdong， Shenzhen 518035， China

[Abstract] Objective To analyze the application of continuous nursing in interventional treatment of lower limb arteriosclerosis obliterans. Methods 86 cases of lower extremity arteriosclerosis obliterans cured in our hospital from April 2012 to April 2014 were selected as the study object. According to whether to take continuing care， they were divided into two groups. In the interventional therapy， patients in control group were treated with routine nursing， and patients in observation group were treated with continuous nursing， including pre hospital care and post discharge care. The self-management， quality of life and restenosis and restenosis of the two groups at different time points were compared. Results At admission， there was no significant difference between the two groups in the scores of self-management （P>0.05）. The self management scores of patients in the observation group after 6 months of continuous nursing care were significantly higher than those at admission （P<0.05）. And compared with the control group， the difference was statistically significant （P<0.05）. At admission， there was no significant difference in quality of life （QOL） between the two groups （P>0.05）. The quality of life of patients in observation group after continuous nursing of 3 months， 6 months and 12 months were significantly higher than those at admission （P<0.05）. And compared with the control group， the difference was statistically significant （P<0.05）. During the follow-up period of 12 months， the incidence of re occlusion in the observation group was 6.98%， the incidence of restenosis was 16.28%， and the incidence of re occlusion in the control group was 13.95%， and the incidence of restenosis was about 32.56%. There was a significant difference between the two groups in the rate of restenosis and restenosis （P<0.05）. Conclusion The effect of continuous nursing in interventional treatment of lower limb arteriosclerosis obliterans is exact. It can significantly improve the quality of life and self-management of patients， and improve the prognosis. It has less disease recurrence， and broad prospects for clinical application.

[Key words] Arteriosclerosis obliterans of lower extremity； Interventional therapy； Continuous nursing

下肢闭塞性动脉硬化症作为动脉粥样硬化的局部表现，下肢动脉狭窄闭塞，导致供血不足的一系列症状表现[1]。目前，下肢闭塞性动脉硬化症已成为最常见的血管外科疾病之一，具有不同的分期，病情呈渐进性发展，对患者生活质量具有不同程度的影响。由于下肢闭塞性动脉硬化症的病情较长，病变范围广，手术治疗作为该病的主要方法，但患者对开放性手术的耐受性差，而介入治疗对下肢闭塞性动脉硬化症的疗效与开放性手术相当，但创伤性小、术后恢复快。在临床上，介入治疗可解决下肢动脉狭窄闭塞问题，缓解下肢闭塞性动脉硬化症，近期疗效显著，但动脉粥样硬化的危险因素仍存在，其病理变化难以逆转，远期疗效欠佳[2]。因……