有创动脉压监测在急性缺血性卒中患者中的应用效果  

Application effect of invasive arterial pressure monitoring in patients with acute ischemic stroke

作　　者：王洁[1] 茹睿 董正航 黄芳 张东焕 温昌明[1] WANG Jie;RU Rui;DONG Zhenghang;HUANG Fang;ZHANG Donghuan;WEN Changming(Department of Neurology,Nanyang City Center Hospital,Nanyang Henan 473000,China)

机构地区：[1]南阳市中心医院神经内科脑血管病介入病区,河南南阳473000

出　　处：《临床与病理杂志》2022年第12期3078-3083,共6页Journal of Clinical and Pathological Research

基　　金：河南省科技发展计划项目(202102310079)。

摘　　要：目的:探讨有创动脉压监测护理在急性缺血性卒中患者中的应用效果。方法:分析2019年9月至2021年5月于南阳市中心医院因急性缺血性卒中行机械取栓术治疗的7 0例患者,随机分为对照组(n=35)与观察组(n=35),进行双盲对照研究。其中对照组入院后予以常规护理,观察组则额外予以有创动脉压监测。比较两组患者高灌注综合征(Cerebral Hyperperfusion Syndrome,CHS)量表评分、神经功能恢复情况及护理满意度。结果:干预前两组患者美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分差异无统计学意义(P>0.05);干预后观察组NIHSS评分明显低于对照组,差异有统计学意义(P<0.05)。观察组CHS量表中除谵妄与脑出血外评分均明显低于对照组,差异均有统计学意义(均P<0.05)。观察组的护理满意度为88.57%(31/35),明显高于对照组的60.00%(21/35),两组差异有统计学意义(P<0.05)。结论:有创动脉压监测可早期发现术后高灌注综合征,及时、有效的干预可改善急性缺血性卒中患者神经功能,也可提高护理满意度。Objective: To investigate the effect of invasive arterial pressure monitoring nursing in patients with acute ischemic stroke. Methods: A retrospective analysis of 70 patients who underwent mechanical thrombectomy for acute ischemic stroke in Nanyang City Center Hospital of China from September 2019 to May 2021 was performed. The patients were randomly divided into 2 groups for a double-blind controlled study. The control group(n=35) received routine nursing, and the observation group(n=35) received additional invasive arterial pressure monitoring nursing. The Cerebral Hyperperfusion Syndrome(CHS) scale score, neurological recovery, and nursing satisfaction were compared between the 2 groups. Results: There was no significant difference in the National Institute of Health Stroke Scale(NIHSS) scores between the 2 groups before the intervention (P>0.05). After the intervention, the NIHSS scores of the observation group were significantly lower than those of the control group, and the difference was statistically significant(all P<0.05). Except for delirium and cerebral hemorrhage, the CHS scale scores in the observation group were significantly lower than those in the control group, and the difference was statistically significant(all P<0.05). The nursing satisfaction of the observation group was 88.57%(31/35), which was significantly higher than that of the control group with 60.00%(21/35), and the difference between the 2 groups was statistically significant(P<0.05). Conclusion: Invasive arterial pressure monitoring nursing can early detect postoperative hyperperfusion syndrome, and timely and effective intervention can improve neurological function and nursing satisfaction in patients with acute ischemic stroke.

关 键 词：有创动脉压监测 缺血性卒中 机械取栓 高灌注综合征 

分 类 号：R473.74[医药卫生—护理学]