脑血管病介入治疗后动脉鞘管拔管时间及血管并发症.docVIP

脑血管病介入治疗后动脉鞘管拔管时间及血管并发症 　【摘要】 目的 通过比较脑血管病介入治疗术后不同时间内拔除动脉鞘管对术后并发症的影响,旨在减少脑血管病介入治疗患者的术后血管并发症,为脑血管病介入治疗术后动脉鞘管拔管时间提供临床依据。方法 根据病情、术后使用肝素情况将147例行脑血管病介入治疗的患者分别与于术后＜1 h拔除动脉鞘管47 例（A组）；术后留置4～6 h内拔除动脉鞘管49 例（B组）；术后留置7～24 h内拔除动脉鞘管51 例（C组）,比较三组患者术后并发症情况。结果 A组未出现术后血管并发症,B组发生术后血管并发症8 例, C组发生术后血管并发症12 例。结论 脑血管病介入治疗术后,结合病情尽早拔除动脉鞘管,可以预防和减少血管并发症的发生。 【关键词】 脑血管病介入治疗 动脉鞘管拔管 并发症 护理 　　Abstract： Objective By comparing the effects of artery sheath catheter at different time on postoperative complications after interventional therapy of cerebrovascular disease, we aim to reduce the postoperative complications of interventional therapy of cerebrovascular disease and provide clinical reference on artery sheath catheter removal time. Methods According to patients’ condition and administration dosage of heprain, 147 patients subjected to interventional therapy were divided into three groups. In Group A of 47 patients, artery sheath catheter was removed immediately after interventional therapy, while in Group B of 49 patients, it was removed 4～6 h after interventional therapy, and in Group C of 51 patients, it was removed 7～24 h after interventional therapy. The incidence of postoperative complications in three groups was compared. Results No postoperative complication occurred in Group A, while in Group B, postoperative complications occurred in 8 cases (Plt;0.05), and in Group C, postoperative complications occurred in 12 cases (Plt;0.05). Conclusions After interventional therapy of cerebrovascular disease, immediate removal of artery sheath catheter could prevent and reduce the occurrence of postoperative complications. Key words：interventional therapy of cerebrovascular disease;removal of artery sheath catheter; complication;nursing 脑血管病（Cerebrovascular Disease,CVD）发病率、致残率和死亡率很高,是威胁人类健康的三大主要疾病之一［1］。介入治疗脑血管病是目前脑血管病行之有效的治疗方法,该技术创伤小,恢复快,减轻了患者的痛苦,提高了治疗的成功率。但介入治疗需要穿刺股动脉,易造成血管损伤,特别是术后留置动脉鞘管会加重对血管的损伤,导致穿刺部位出血及血肿、动-静脉瘘、假性动脉瘤、血栓形成、栓塞等血管并发症的发生。为探讨动脉鞘管拔管时间对脑血管病介入治疗术后血管并发症的影响,本研究选择2003年至200