循证医学理论在主动脉夹层腔内修复术患者围术期中的应用及对患者睡眠质量的影响  

Application of Evidence-based Medicine Theory in Perioperative Period of Patients Undergoing Endovascular Repair of Aortic Dissection and its Influence on Sleep Quality

作　　者：秦志华[1] 杨明月[1] 徐丽梅[1] 彭晓鹏 QIN Zhihua;YANG Mingyue;XU Limei;PENG Xiaopeng(Dongguan People′s Hospital,Dongguan 523000,China)

机构地区：[1]东莞市人民医院,东莞523000

出　　处：《世界睡眠医学杂志》2022年第3期404-406,409,共4页World Journal of Sleep Medicine

摘　　要：目的:探究循证医学理论在主动脉夹层腔内修复术患者围术期中的应用价值。方法:选取2019年1月至2020年12月东莞市人民医院收治的行主动脉夹层腔内修复术的主动脉夹层动脉瘤患者86例作为研究对象,按照随机数字表法分为对照组和观察组,每组43例。对照组为常规管理,观察组实施基于循证医学理论的管理。比较2组管理前后视觉模拟评分法(VAS)评分、匹兹堡睡眠质量指数(PSQI)评分、血气指标、并发症发生率。结果:管理后观察组VAS评分、PSQI评分均低于对照组,差异有统计学意义(P<0.05);观察组管理后动脉血氧分压(PaO_(2))水平高于对照组,而动脉二氧化碳分压(PaCO_(2))水平低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组满意度98.48%高于对照组89.39%,差异有统计学意义(P<0.05)。结论:主动脉夹层腔内修复术的围术期管理应用循证医学理论,可缓解疼痛,改善睡眠,平稳其血气指标,加快康复,减少并发症发生,提升患者对科室的满意度。Objective:To explore the application value of evidence-based medicine theory in the perioperative period of patients undergoing intracavitary aortic dissection repair.Methods:A total of 86 patients with aortic dissecting aneurysm who underwent endovascular repair of aortic dissection who were admitted to Dongguan People′s Hospital from January 2019 to December 2020 were selected as the research objects and randomly divided into the control group and the observation group,with 43 cases in each group.The control group was given routine management,while the observation group was given management based on evidence-based medicine theory.The Visual Analogue Scale(VAS)score,Pittsburgh Sleep Quality Index(PSQI)score,blood gas indexes,and complication rates were compared between the two groups before and after management.Results:After management,the VAS score and PSQI score of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The arterial oxygen pressure(PaO2)in the observation group was higher than that in the control group,while the arterial partial pressure of carbon dioxide(PaCO2)in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction rate of the observation group was 98.48%higher than that of the control group 89.39%,and the difference was statistically significant(P<0.05).Conclusion:The perioperative management of intracavascular aortic dissection with evidence-based medicine theory can relieve pain,improve sleep,stabilize blood gas index,speed up recovery,reduce complications and improve patients′satisfaction with the department.

关 键 词：循证医学理论 主动脉夹层腔内修复术 VAS评分 睡眠质量 血气指标 

分 类 号：R543.1[医药卫生—心血管疾病]