颞浅动脉-大脑中动脉搭桥术患者围术期综合干预对脑血循环及神经功能恢复的影响  

The effects of perioperative comprehensive intervention on the operation effects and cerebral blood circulation in patients undergoing superficial temporal artery-middle cerebral artery bypass surgery

作　　者：黄亚娟[1] 董云天 毛晓红[1] 韩昕媛 樊丰势 李岩 杨芳[1] 刘维丽[1] HUANG Yajuan;DONG Yuntian;MAO Xiaohong(The First Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第一医院,石家庄市050031

出　　处：《河北医药》2021年第16期2494-2496,2500,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题(编号:20180239)。

摘　　要：目的探讨围术期综合干预对行颞浅动脉-大脑中动脉(superficial temporal artery-middle cerebral artery anastomosis,STA-MCA)搭桥术患者脑血循环及神经功能恢复的影响。方法选取2017年6月至2018年12月进行颞浅动脉-大脑中动脉搭桥手术治疗的64例患者作为研究对象,随机分为观察组与对照组,每组32例。对照组实施常规护理干预,观察组在常规护理基础上加用围术期综合护理干预。比较2组的脑血循环(血流平均速度、血管搏动指数)、血压(SBP、DBP)以及神经功能状况。结果经临床护理干预,2组的血流平均速度增加,血管搏动指数降低,且观察组的改善情况优于对照组,差异有统计学意义(P<0.05)。在临床不同护理干预下,2组的SBP、DBP均降低,且观察组的降低程度优于对照组,差异有统计学意义(P<0.05)。2组的mRS评分均降低,且随着干预时间越长降低程度越显著,且观察组在同一干预时间点的mRS评分均低于对照组,差异有统计学意义(P<0.05)。结论对行STA-MCA术治疗的烟雾病患者行围术期综合护理干预有助于改善患者的脑血循环,维持血压稳定,促进其神经功能的恢复。Objective To investigate the effects of perioperative comprehensive intervention on the operation effects and cerebral blood circulation in patients undergoing superficial temporal artery-middle cerebral artery anastomosis(STA-MCA)bypass surgery.Methods A total of 64 patients with moyamoya disease who were treated by STA-MCA bypass surgery in our hospital from June 2017 to December 2018 were enrolled in the study,who were randomly divided into observation group and control group,with 32 cases in each group.The patients in control group were treated by routine nursing intervention,however,the patients in observation group,on the basis of control group,were treated by perioperative comprehensive nursing interventionThe cerebral blood circulation(average blood flow velocity,vascular beat index),blood pressure(SBP,DBP),and neurological function were observed and compared between the two groups.Results After clinical nursing intervention,the average blood flow velocity in both groups was increased,and the vascular pulsation index was decreased,moreover,the improvement status in observation group was superior to that in control group(P<0.05).And the SBP and DBP in both groups were decreased,and the decrease degree in observation group was superior to that in control group(P<0.05).Moreover the mRS scores in both groups were decreased with time going on,moreover,which in observation group were significantly lower than those in control group(P<0.05).Conclusion The perioperative comprehensive nursing intervention for patients with moyamoya disease undergoing STA-MCA surgery is helpful to improve the cerebral blood circulation,maintain stable blood pressure,and promote the nerve function recovery of patients.

关 键 词：烟雾病 颞浅动脉-大脑中动脉搭桥手术 围术期 综合护理干预 脑血循环 

分 类 号：R651.12[医药卫生—外科学]