个性化术中配合在腹主动脉瘤腔内隔绝术中的应用效果  

Study on the effect of individualized intraoperative coordination methods for endovascular exclusion of abdominal aortic aneurysm

作　　者：党磊 石彦强[2] 白彦文 张志刚 Dang Lei;Shi Yanqiang;Bai Yanwen;Zhang Zhigang(School of Nursing,Lanzhou University/Department of Interventional Medicine,First Hospital of Lanzhou University,Lanzhou 730000,Gansu,China;Department of Interventional Medicine,First Hospital of Lanzhou University,Lanzhou 730000,Gansu,China;School of Nursing,Lanzhou University/Department of Critical Care Medicine,First Hospital of Lanzhou University,Lanzhou 730000,Gansu,China)

机构地区：[1]兰州大学护理学院/兰州大学第一医院介入医学科,甘肃兰州730000 [2]兰州大学第一医院介入医学科,甘肃兰州730000 [3]兰州大学护理学院/兰州大学第一医院重症医学科,甘肃兰州730000

出　　处：《血管与腔内血管外科杂志》2022年第4期479-483,共5页Journal of Vascular and Endovascular Surgery

摘　　要：目的探讨个性化术中配合在腹主动脉瘤(AAA)腔内隔绝术中的应用效果。方法收集2018年6月至2021年6月兰州大学第一医院收治的98例行腔内隔绝术治疗的AAA患者的临床资料,根据术中配合方式不同将其分为常规组(n=49,采用常规术中配合)和个性组(n=49,采用个性化配合)。比较两组患者的术中血流动力学指标,包括收缩压、平均动脉压(MAP)、心率。观察两组患者术前、术后的心理状态指标,包括焦虑自评量表(SAS)、抑郁自评量表(SDS)。统计两组患者手术时间、术后首次下床活动时间、住院时间。调查手术医师、麻醉医师、患者满意度,统计两组患者术后并发症发生情况。结果术中,两组患者收缩压、心率、MAP均降低,但个性组患者上述指标均高于常规组患者,差异均有统计学意义(P<0.05)。术后,两组患者SAS、SDS评分均降低,且个性组患者SAS、SDS评分均低于常规组患者,差异均有统计学意义(P<0.05)。个性组患者手术时间、术后首次下床活动时间、住院时间均短于常规组患者,差异均有统计学意义(P<0.05)。个性组手术医师、麻醉医师、患者满意度均高于常规组患者,差异均有统计学意义(P<0.05)。个性组患者术后并发症总发生率为4.08%(2/49),低于常规组患者的22.45%(11/49),差异有统计学意义(P<0.05)。结论个性化术中配合AAA腔内隔绝术能够提高手术效率,较好地控制患者术中血流动力学指标,从而促进患者术后恢复,降低术后并发症发生率,提高对手术室工作的满意度。Objective To investigate the application effect of personalized intraoperative cooperation in endovascular exclusion of abdominal aortic aneurysm(AAA).Method The clinical data of 98 patients with AAA treated by endovascular isolation who were admitted to First Hospital of Lanzhou University from June 2018 to June 2021 were collected.They were divided into routine group(n=49,using conventional intraoperative cooperation)and individualized group(n=49,using individualized cooperation)according to different intraoperative cooperation methods.The intraoperative hemodynamic indexes of systolic blood pressure,mean arterial pressure(MAP),and heart rate were compared between the two groups.The preoperative and postoperative psychological state indicators of the two groups were observed,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of two groups were employed.The operation time,postoperative ambulation for the first time,and hospitalization time of the two groups of patients were counted.The satisfaction of surgeons,anesthesiologists,patients was investigated,and the incidence of postoperative complications in the two groups of patients was counted.Result During the operation,the systolic blood pressure,heart rate,and MAP of the two groups were decreased,but above indicators in the individualized group were higher than those in the routine group,the differences were statistically significant(P<0.05).After the operation,the SAS and SDS scores of the two groups were decreased,and the patients in the individualized group were lower than those in the routine group,the differences were statistically significant(P<0.05).The operation time,postoperative ambulation for the first time,and hospital stay of the patients in the individualized group were shorter than those in the routine group,the differences were statistically significant(P<0.05).The surgeons,anesthesiologists,and patient satisfaction in the individualized group were higher than those in the routine group,the differences were statistically sig

关 键 词：腹主动脉瘤 腔内隔绝术 术中配合 心理状态 血流动力学 

分 类 号：R543[医药卫生—心血管疾病]