【摘要】 目的 形成《重症脑卒中介入治疗围术期患者保护性约束的专家共识》，为重症脑卒中患者在介入治疗围术期保护性约束实施与解除提供临床指导。方法 通过检索文献及访谈，对重症脑卒中介入治疗围术期患者保护性约束实施与解除的推荐建议和研究结论进行提取，形成共识初稿，通过2轮专家函询，结合专家意见对初稿进行调整、修改和完善，形成共识终稿。结果 2轮函询问卷的有效回收率分别为96%、91%，权威系数分别为0.896、0.933，各指标重要性赋值均数均>3.5分，且变异系数均<0.25，专家肯德尔和谐系数分别为0.160、0.299。重症脑卒中介入治疗围术期患者保护性约束专家共识内容包含：约束实施评估要点、约束预防及替代措施、约束用具及时长的选择、约束实施操作要点、约束解除评估共5个部分。结论 该共识可为重症脑卒中介入治疗围术期患者保护性约束实施与解除提供指导依据，促进实施与解除保护性约束行为规范。更多还原

【Abstract】 Objective To form a written document of "Expert consensus on perioperative protective restraint in interventional therapy for severe stroke patients", to provide clinical guidance for the implementation and removal of perioperative protective restraints in interventional therapy for severe stroke patients. Methods By conducting literature review and interviews, we extracted recommendations and research findings on the implementation and removal of protective restraints for patients undergoing interventional therapy in the perioperative period of severe ischemic stroke to form a consensus draft. Following two rounds of expert consultation, we created the final consensus after adjusting, modifying, and refining the draft in accordance with expert opinions. Results The effective recovery rate of the two-round questionnaire was 96% and 91%, respectively. The authority coefficient of the two rounds of correspondence consulting was 0.896 and 0.933, respectively. The mean value of importance assignment of each indicator was > 3.5, and the coefficient of variation was < 0.25. The Kendall harmony coefficient of experts was 0.160 and 0.299 respectively. The final consensus consisted of five parts, namely, the key point of restraint implementation evaluation, restraint prevention and alternative measures, the selection of restraint tools and their duration, the key point of restraint implementation, and the key point of restraint removal.Conclusion This consensus provides guidance for and standardize the implementation and removal of protective restraints in severe stroke patients undergoing interventional therapy.更多还原