急性脑梗死患者支架取栓的围手术期护理研究进展  

Research Progress on Perioperative Nursing of Patients with Acute Cerebral Infarction Undergoing Stent Thrombectomy

作　　者：张雪娜 杨月 ZHANG Xue'na;YANG Yue(Department of Neurology,Jilin University Sino Japanese Friendship Hospital,Changchun 130000,China)

机构地区：[1]吉林大学中日联谊医院神经内科,长春130000

出　　处：《中国医药指南》2024年第17期66-69,共4页Guide of China Medicine

摘　　要：急性脑梗死作为神经系统高发疾病,主要由脑部血液供应不足导致动脉粥样硬化所致,并发症多,致残率与病死率居高不下,已逐渐发展为严重影响我国民众身体质量与生命安全的脑血管疾病之一。动脉介入支架取栓术作为当前治疗本病的有效方式,凭借其长“时间窗”、高开通率、术中出血量少等特点被广泛用于临床实践,可及时恢复梗死灶血供,减轻脑组织损伤。但由于患者起病急,且治疗时间窗较小,术中及术后易出现再出血、再灌注损伤等并发症,降低疗效,因此,加强围手术期护理至关重要。本研究现对支架取栓围手术期相关问题进行综述,以期为提高围手术期护理质量、改善预后提供参考。As a high incidence disease of the nervous system,acute cerebral infarction is mainly caused by atherosclerosis due to insufficient blood supply to the brain,with many complications,high disability rate and case fatality rate,and has gradually developed into one of the cerebrovascular diseases that seriously affect the physical quality and life safety of Chinese people.Arterial stent thrombectomy,as an effective treatment for this disease,is widely used in clinical practice due to its long time window,high patency rate,and low intraoperative bleeding.It can timely restore blood supply to the infarcted area and reduce brain tissue damage.However,due to the urgency of the patient's onset and the small treatment time window,complications such as re bleeding and reperfusion injury are prone to occur during and after surgery,which reduces the efficacy.Therefore,strengthening perioperative care is crucial.This study provides a review of perioperative issues related to stent thrombectomy,in order to provide reference for improving the quality of perioperative care and prognosis.

关 键 词：急性脑梗死 支架取栓术 围手术期护理 研究进展 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]