术中程序化配合对下肢动脉血栓介入治疗的影响  

Effect of intraoperative programmatic cooperation on interventional treatment of lower extremity arterial thrombosis

作　　者：吴迪 刘彬[2] 薛建超 任合兵 Wu Di;Liu Bin;Xue Jianchao;Ren Hebing(Anesthesia Surgery Center,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Department of Vascular Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院麻醉手术中心,北京100050 [2]首都医科大学附属北京友谊医院血管外科,北京100050

出　　处：《血管与腔内血管外科杂志》2024年第7期769-773,共5页Journal of Vascular and Endovascular Surgery

摘　　要：目的探讨术中程序化配合对下肢动脉血栓介入治疗的影响。方法收集2021年4月至2023年8月于首都医科大学附属北京友谊医院因下肢动脉血栓而接受介入治疗的136例患者的临床资料,依据介入术中医护配合方式的不同将患者分为观察组(n=65,采取术中程序化配合措施)和对照组(n=71,采取传统术中配合措施)。比较两组患者的介入治疗情况、治疗效果,以及术中、术后介入治疗相关并发症的发生情况。结果两组患者采用的手术方法、手术部位、手术动脉和支架植入情况比较,差异均无统计学意义(P﹥0.05)。观察组患者的手术时间短于对照组患者,造影剂用量少于对照组患者,差异均有统计学意义(P﹤0.05)。所有患者术后即刻均达到有效的血管复通。观察组患者术后的踝肱指数及其改善值均高于对照组患者,差异均有统计学意义(P﹤0.05)。观察组患者术中、术后介入治疗相关并发症的发生率为6.2%(4/65),低于对照组患者的18.3%(13/71)(P﹤0.05)。结论术中程序化配合可提高下肢动脉血栓介入治疗的疗效与安全性,值得临床推广应用。Objective To investigate the effect of intraoperative programmatic cooperation on the interventional treatment of lower extremity arterial thrombosis.Method The clinical data of 136 patients who underwent interventional treatment for lower extremity arterial thrombosis at Beijing Friendship Hospital,Capital Medical University from April 2021 to August 2023 were collected,and according to the different ways of medical and nursing cooperation during intervention treatment,the patients were divided into observation group(n=65,used procedural intraoperative cooperation measures)and control group(n=71,used traditional intraoperative cooperation measures).The interventional treatment status,treatment efficacy,and incidence of intraoperative and postoperative complications between two groups of patients were compared.Result There were no statistically significant differences in the surgical methods,surgical site,surgical artery and stent implantation between the two groups of patients.The surgical time of the observation group patients was shorter than that of the control group patients,and the contrast agent dosage was less than that of the control group patients,the differences were statistically significant(P<0.05).All patients achieved effective vascular recanalization immediately after intervention treatment.The ankle brachial index and its improvement value of the observation group patients after surgery were higher than those of the control group patients,and the differences were statistically significant(P<0.05).The incidence of intraoperative and postoperative intervention related complications in the observation group was 6.2%(4/65),which was lower than the 18.3%(13/71)in the control group(P<0.05).Conclusion Programmed intraoperative cooperation can significantly improve the efficacy and safety of interventional treatment for lower extremity arterial thrombosis,which is worthy of clinical promotion and application.

关 键 词：下肢动脉血栓 介入治疗 术中程序化配合 

分 类 号：R543[医药卫生—心血管疾病]