颅内动静脉畸形术后正常灌注压突破综合征患者的护理干预  

Nursing intervention of patients with normal perfusion pressure breakthrough syndrome after cerebral arteriovenous malformations

作　　者：曾云香 

机构地区：[1]深圳市宝安区中心医院神经外科,广东深圳518102

出　　处：《中国临床护理》2016年第4期324-326,共3页Chinese Clinical Nursing

摘　　要：目的探讨颅内动静脉畸形术后正常灌注压突破综合征(NPPB)的护理措施,以指导临床护理。方法选取2005年1月-2010年1月收治的颅内动静脉畸形患者57例为对照组,行常规护理;选取2010年2月-2015年2月收治的颅内动静脉畸形患者51例为观察组,在对照组基础上进行强化护理干预。所有患者治疗方案相同。比较2组患者术后NPPB发生率、手术前后平均动脉压(MAP)及局部脑血流量(CBF)。结果 2组NPPB发生率及MAP比较,差异无统计学意义;观察组脑血流量低于对照组。结论强化护理干预措施有助于减少颅内动静脉畸形术后患者脑血流量,降低NPPB发生率。Objective To explore the nursing measures of normal perfusion pressure breakthrough syndrome（NPPB）for patients with cerebral arteriovenous malformations（CAVM）.Methods Fifty-seven patients with CAVM hospitalized between January 2005 to 2010were selected as the control group and 51 counterparts hospitalized between February 2010 and 2015were chosen as the observation group.Bothe groups were given routine nursing,while the observation group was additionally provided with strengthened nursing.The incidence of NPPB after operation,the mean arterial pressure（MAP）and local cerebral blood flow（CBF）of both groups were compared after the operation.Results No significant differences were found in the incidence of NPPB and MAP beeween 2groups.The CBF of the observation group was significantly lower than that of the control group.Conclusion Strengthened nursing intervention can help to reduce CBF of patients after CAVM surgery,which has certain value to reduce the incidence of NPPB.

关 键 词：脑颅内动静脉畸形 正常灌注压突破综合征 CBF MAP 护理 

分 类 号：R473.6[医药卫生—护理学]