【摘要】 目的探讨近肾主髂动脉闭塞病变(JAIOD)患者腔内治疗的围手术期护理。方法回顾性分析自2012年1月至2018年12月中国医科大学附属第一医院血管外科收治的22例近肾主髂动脉闭塞行腔内治疗患者的临床资料,入组患者符合腔内治疗适应证,采用双侧股动脉和肱动脉入路,先给予置管溶栓术,溶栓3 d后造影,开通病变,肾动脉预置球囊保护后,行对吻支架植入术。结果 19例患者开通成功,技术成功率为86.4%。无一例患者围手术期死亡。术后患者症状、ABI及疼痛评分较术前均有明显改善(P<0.01)。所有患者围手术期均给予规范的术前护理,术后护理和出院指导,并着重进行置管溶栓相关护理和术后并发症的观察和护理,及时有效地避免了不良事件的发生。结论优质的围手术期护理,能够降低患者并发症的发生率,提高患者预后,是需要重视的重要工作。更多还原

【Abstract】 Objective To discuss the perioperative nursing measures for patients with juxtarenal aortoiliac occlusion disease(JAIOD) who are receiving endovascular treatment. Methods The clinical data of 22 patients with JAIOD, who were admitted to the First Affiliated Hospital of China Medical University during the period from January 2012 to December 2018 to receive endovascular treatment, were retrospectively analyzed. The enrolled patients were in accordance with the endovascular treatment indications. Through bilateral femoral artery and brachial artery approaches, catheter-directed thrombolysis was performed first. Three days after thrombolysis, angiography was employed to check the results, and the occlusive lesion was recanalized. After implantation of a balloon in renal artery, as a protective measure, was accomplished, the anastomosis stent implantation was carried out. Results Successful recanalization was achieved in 19 patients, and the technical success rate was 86.4%. No death occurred during perioperative period. After treatment, the symptoms, ABI and pain scores were significantly improved when compared with the preoperative ones(P<0.01). Standardized pre-operative nursing, postoperative nursing and discharge guidance were strictly implemented for all patients, focusing on the observation and nursing care of catheter-directed thrombolysis-related complications so as to timely and effectively avoid the occurrence of adverse events. Conclusion High-quality perioperative nursing care can reduce the incidence of complications and improve the prognosis of patients. Therefore, perioperative nursing care is an important work that needs to be paid attention to.(J Intervent Radiol, 2020, 29: 205-209)更多还原