协作干预措施在颈动脉闭塞性脑梗死介入治疗中的应用效果  

Application effect of cooperative intervention measures in patients with carotid artery occlusion of cerebral infarction interventional therapy

作　　者：李珍 赵星辉 熊璐璐 李映慧 Li Zhen;Zhao Xinghui;Xiong Lulu;Li Yinghui(Department of Neurology and Psychiatrists,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Neurology Intervention Group,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院神经与精神科,北京100038 [2]首都医科大学附属北京世纪坛医院神经内科介入组,北京100038

出　　处：《血管与腔内血管外科杂志》2023年第4期449-453,479,共6页Journal of Vascular and Endovascular Surgery

摘　　要：目的 探讨协作干预措施在颈动脉闭塞性脑梗死(CAOCI)介入治疗中的应用效果。方法 收集2019年3月至2021年5月于首都医科大学附属北京世纪坛医院接受颈动脉介入治疗的106例CAOCI患者的临床资料,根据是否采取协作干预措施将患者分为常规组和协作组,每组53例。比较两组患者干预前后的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、自我效能感、自我管理水平、神经功能[美国国立卫生研究院卒中量表(NIHSS)评分]、生活能力[改良Rankin量表(mRS)评分],以及出院前与术后6个月的生活质量、血脂指标[甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平]。比较两组患者干预措施相关的并发症发生情况。结果 干预后,协作组患者的SAS、SDS评分均低于常规组患者,自我效能感评分高于常规组患者,自我管理水平量表中各维度的评分均高于常规组患者,NIHSS、mRS评分均低于常规组患者(P﹤0.05)。术后6个月,协作组患者世界卫生组织生活质量测定量表-100(WHOQOL-100)中的各维度评分及总分均高于常规组患者,TG、TC、LDL-C水平均低于常规组患者(P﹤0.05)。两组患者均未出现干预措施相关并发症。结论 协作干预措施能够改善CAOCI患者的心理状态,减轻神经功能损伤,提高患者生活能力,辅助改善患者的预后。Objective To investigate the application effect of cooperative intervention measures in patients with carotid artery occlusion of cerebral infarction(CAOCI)interventional therapy.Method The clinical data of 106 CAOCI patients who received carotid artery interventional therapy at Beijing Shijitan Hospital,Capital Medical University from March 2019 to May 2021 were collected.Patients were divided into routine group and cooperative group according to whether cooperative intervention measures were taken,with 53 cases in each group.The psychological state[selfrating anxiety scale(SAS),self-rating depression scale(SDS)score],self-efficacy,self-management level,neurological function[the National Institutes of Health Stroke Scale(NIHSS)score],living ability[modified Rankin scale(MRS)score]before and after the intervention,and the quality of life and blood lipid[triglyceride(TG),total cholesterol(TC),low density lipoprotein-cholesterol(LDL-C)levels]before discharge and 6 months after operation of the two groups of patients were compared.The incidence of intervention-related complications was compared between the two groups.Result After the intervention,the SAS and SDS scores of the cooperative group were lower than those of the routine group,and the self-efficacy scores were higher than those of the routine group,the scores of each dimension of the self-management level scale of patients in the cooperative group were higher than those in the routine group,the NIHSS and MRS scores of the cooperative group were lower than those in the routine group(P<0.05).The scores of each dimension of the World Health Organization quality of life-100(WHOQOL-100)and the total of life scores,and the cooperative group were higher than those in the routine group,TG,TC,LDL-C levels in the cooperative group were lower than those in the routine group.Conclusion Cooperative intervention measures could improve the psychological state of patients with cerebral infarction caused by carotid artery occlusion,reduce the neurological impairment,improve

关 键 词：颈动脉闭塞性脑梗死 介入治疗 心理状态 神经功能 

分 类 号：R543[医药卫生—心血管疾病]