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B型主动脉夹层覆膜支架腔内修复术围手术期影响ICU停留时间的危险因素分析

Analysis of perioperative risk factors influencing ICU stay length in patients with coated stent lumen repair of type B aortic dissection

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【作者】 杨莉莉潘楚梅冯东杰彭芳刘英王京李沙

【Author】 YANG Li-li;PAN Chu-mei;FENG Dong-jie;PENG Fang;LIU Ying;WANG Jing;LI Sha;Nursing Department,Shenzhen Sun Yat-Sen Cardio-vascular Hospital;Department of Fifth Medical Ward,Shenzhen Sun Yat-Sen Cardio-vascular Hospital;ICU,Shenzhen Sun Yat-Sen Cardio-vascular Hospital;Department of Fourth Surgery Ward,Shenzhen Sun Yat-Sen Cardio-vascular Hospital;

【机构】 孙逸仙心血管医院护理部孙逸仙心血管医院内五科孙逸仙心血管医院ICU孙逸仙心血管医院外四科

【摘要】 目的分析B型主动脉夹层患者覆膜支架腔内修复术围手术期的危险因素。方法对50例行覆膜支架腔内修复术患者的临床资料进行回顾性分析,按ICU停留时间进行分组,分析性别、年龄、心率、生活习惯、血压、疼痛程度、并发症、焦虑程度与患者围手术期康复的相关性,并用Logistic回归分析其对患者康复的影响。结果舒张压、心率、焦虑、疼痛评分≥7分、低氧血症是B型主动脉夹层患者覆膜支架腔内修复术围手术期的危险因素(P<0.05)。结论在围手术期内确定危险因素并及时采取针对性的护理措施,有助于患者及早康复。

【Abstract】 Objective To analysis the perioperative risk factors influencing ICU stay length in patients with coated stent lumen repair of type B aortic dissection.Methods Clinical data of 50 patients with coated stent lumen repair were retrospectively analyzed.The infuence of gender,age,heart rate,living habits,blood pressure,pain degree,complications,anxiety levels on ICU stay length were analyzed by using Logistic regression analysis.Results The diastolic blood pressure,heart rate,anxiety,pain,and hypoxemia were perioperative risk factors of coated stent lumen repair of type B aortic dissection( P < 0.05).Conclusion To determine risk factors,and to take corresponding nursing measures in time,can help patients recover as early as possible.

【基金】 广东省深圳市科技计划项目(201203140)
  • 【文献出处】 护理管理杂志 ,Journal of Nursing Administration , 编辑部邮箱 ,2014年06期
  • 【分类号】R473.6
  • 【被引频次】7
  • 【下载频次】83
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