循证护理在覆膜支架植入术中的应用  

Short-term curative effect and nursing research of endovascular stent short-term efficacy of aortic dissection

作　　者：童琴[1] 周敏洪[2] 项晓萍[1] 

机构地区：[1]浙江省温州医科大学第二附属医院心胸外科,325027 [2]浙江省温州医科大学第二附属医院疼痛科,325027

出　　处：《中华全科医学》2014年第11期1843-1845,1847,共4页Chinese Journal of General Practice

摘　　要：目的大动脉覆膜支架植入术是近年来治疗主动脉夹层的常用方法,本研究旨在探讨循证护理对确保手术质量,减少术后并发症,提高患者生活质量的应用效果。方法选取温州医科大学第二附属医院2010年10月—2013年12月采用大动脉覆膜支架植入术治疗的40例主动脉夹层的患者为研究对象,按照护理方法的不同分为观察组和对照组,每组20例,对照组采用常规护理,观察组采用循证护理,比较2组的近期疗效、术后恢复以及生活质量。结果 2组患者术后1个月患者的左心室射血分数与术前相比无统计学意义(P>0.05),胸主动脉最大内径小于术前,差异有统计学意义(P<0.05)。但2组之间差异无统计学意义(P>0.05)。观察组的术后卧床时间、住院时间以及并发症少于对照组(P<0.05)。观察组在躯体功能、角色功能、社会功能等生活质量高于对照组(P<0.05)。结论大动脉覆膜支架植入术治疗主动脉夹层的疗效较好,循证护理可减少患者的术后并发症,促进康复,改善其生活质量。Objective Endovascular stent was a common method in the treatment of aortic dissection, this study aims to investigate the evidence-based nursing to ensure the quality of the operation, reduce the postoperative complications, and to improve the effectiveness of life quality of the patients. Methods 40 cases of aortic dissection treated with endovascular stent short-term efficacy in our hospital from 2010 October to 2013 December were chosen as the research object, they were divided into the observation group and the control group according to different nursing methods, 20 cases in each group, the control group was received routine nursing care, the observation group was given evidence-based nursing, shortterm curative effect,recovery and life quality of the two groups were compared after operation. Results Left ventricular ejection fraction 1 months after operation in the two groups had no significant difference with preoperative（P 〉 0.05 ）, thoracic aortic diameter was less than preoperative,with statistical significance （P 〈 0.05 ）. And there was no statistical significance between the two groups （P 〉 0.05）. The postoperative recovery time, hospitalization time and complications in the observation group were less than that in the control group, with statistical significance （ P 〈 0.05 ）. The life quality in physical function, role function, social function in the observation group was higher than that in the control group, with statistical significance（P 〈 0.05 ）. Conclusion The effect of endovascular stent in aortic dissection was good, evidencebased nursing can reduce the patient＇s postoperative complications, promote healing, and improve the life quality.

关 键 词：大动脉覆膜支架置入术 主动脉夹层 疗效 护理 

分 类 号：R473.6[医药卫生—护理学] R541[医药卫生—临床医学]