经股动脉持续溶栓治疗糖尿病足患者的围手术期护理.pdfVIP

• 28 • 生且主且护王理杂志 2012 年9 月 1 日第 28 卷第 25 期 Chin J Prac Nurs.Seotember 12012. VoI.28.No.25 ·内和时户翌丑· 经股动脉持续溶栓治疗糖尿病足患者的 围手术期护理 孙慧伶唐娇艳 [摘要】 目的探讨经股动脉持续溶栓治疗糖尿病足患者的围手术期护理要点。方法对2∞6 年 2 月至 2011 年 8 月收治的78 例糖尿病足患者采用经股动脉持续输注尿激酶治疗，术前进行心理护 理、教育干预、物品准备，建立糖尿病足持续溶栓护理观察与评估指标，采取动态评价。结果 78 例 糖尿病足溃殇全部愈合，无一例发生出血、感染等严重并发症。结论 围手术期专业的心理、教育干 预，充分的物品准备为确保疗效奠定了基础，护理观察与评估指标的建立与应用可有效减少术后不 良事件发生，促进溃殇面愈合，是溶栓治疗成功的关键。 [关键词] 糖尿病; 足溃殇; 护理 Periopera甜ve nursing of continuous thrombolysis treatment through the femoral arteryωtreat pa- tients with diabetic foot u1cers SUN Hui-ling, TANG Jioo-yan. Wuhan Genera1 Hospit a1 ofGuangzhou Military A T叫， Wuhan 43007α， China [Abstract] Objective To investigate the points of perioperative nursing of patients with diabetic foot ulcers (DFUs)treated with continuous thrombolysis. Methods Aωtal of 78 cases of DFUs patients treated with continuous infusion of urokinase through femoral artery from February 2006 to August 2011 were recruited into the study. Besides ,psychological care, education guidance, and materials preparation were given to them before the operation. Meanwhile , a module of Nursing observation and assessment in- dicators to DFUs treated with interventional thrombolysis was set up and used to give a dynamic evalua- tion. Results Foot ulcers of a1 1 the subjects were healed , and no case occurred serious complications such as bleeding or infection and 80 on. Conclusions Our results indicate that professional psychological care, education guidance, and fully materials preparation in perioperative period lay the foundation of clini- cal efficacy. The establishment and application of Nursing observation and assessment indicators to DFUs tre咀ted with interventional thrombolysis is the key to the success of thrombolytic therapy because