脑深部电刺激术治疗肌张力障碍患者磁共振成像定位中行改进型护理措施的干预效果分析  

Analysis of intervention effect of improved nursing measures in deep brain stimulation for patients with dystonia in MRI localization

作　　者：王惠娟 史燕薇 张文杰 王云鹏 田肇隆[2] 张宇清 Wang Huijuan;Shi Yanwei;Zhang Wenjie Wang Yunpeng;Tian Zhaolong;Zhang Yuqing(Beijing Institute of Functional Neurosurgery Department,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anaesthesia and Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院北京功能神经外科研究所,100053 [2]首都医科大学宣武医院麻醉手术科,北京100053

出　　处：《中国实用护理杂志》2019年第35期2721-2725,共5页Chinese Journal of Practical Nursing

摘　　要：目的 探究脑深部电刺激术治疗肌张力障碍患者磁共振成像(MRI)定位中行改进型护理措施的干预效果.方法 选取2013年1月至2015年12月行常规护理的脑深部电刺激手术治疗的肌张力障碍的患者20例为对照组.2016年1月至2018年12月行改进型护理的脑深部电刺激手术治疗的肌张力障碍的患者20例为试验组.观察2组MRI定位一次成功率、检查时间相关指标、静脉麻醉后不良反应的发生率.结果 试验组患者MRI定位一次成功率95.00%(19/20),高于对照组的55.00%(11/20),差异有统计学意义(χ2=8.533,P<0.01).试验组检查总用时(33.60 ± 8.27) min,明显少于对照组(44.30 ± 13.43)min,差异有统计学意义(t=3.663,P<0.05).静脉麻醉后MRI定位总不良反应的发生率试验组(5%,1/20),低于对照组(30%,6/20),差异有统计学意义(χ2=4.329,P<0.05).结论 改进型护理措施可有效提高肌张力障碍患者MRI立体定向脑部靶点定位的成功率,为手术靶点的精准计算提供了保障,使手术达到最佳效果,检查中做到及早发现生命体征变化,医疗团队的密切配合是MRI检查顺利完成的保证.Objective To explore the intervention effect of improved nursing measures in the treatment of patients with dystonia with deep brain stimulation in MRI localization.Methods Twenty patients with dystonia treated with deep brain stimulation from January 2013 to December 2015 were selected as the control group.Twenty patients with dystonia treated by deep brain stimulation surgery with improved nursing from January 2016 to December 2018 were in the experimental group.The primary success rate of MRI localization,examination time related indexes and incidence of adverse reactions after intravenous anesthesia were observed in the 2 groups.Results The primary success rate of MRI localization in the experimental group(95.00%,19/20)was higher than that in the control group(55.00%,11/20),and the difference was statistically significant(χ2=8.533,P<0.01).The total examination time of the experimental group(33.60±8.27)min was significantly shorter than that of the control group(44.30±13.43)min,and the difference was statistically significant(t=-3.663,P<0.05).The incidence of total adverse reactions to MRI localization after intravenous anesthesia was lower in the experimental group(5%,1/20)than in the control group(30%,6/20),and the difference was statistically significant(χ2=4.329,P<0.05).Conclusions Improved nursing measures can effectively improve the success rate of MRI stereotactic brain target location in patients with dystonia,providing a guarantee for accurate calculation of surgical targets,enabling the operation to achieve the best results,early detection of changes in vital signs during examination,and the close cooperation of the medical team is the guarantee for the smooth completion of MRI examination.

关 键 词：脑深部电刺激术 肌张力障碍 磁共振成像 改进型护理 干预效果 

分 类 号：R47[医药卫生—护理学]