|
| 脑血管介入手术约束衣在急诊取栓中的设计与应用 |
| Design and application of restraint clothing in emergency thrombotomy for cerebrovascular interventional surgery |
| 投稿时间：2024-12-23 修订日期：2024-12-23 |
| DOI： |
| 中文关键词: 急性大动脉闭塞性脑卒中 脑血管介入 机械取栓 约束衣 |
| 英文关键词: Ischemic Stroke Endovascular Procedures Thrombectomy Physical Restraint |
| 基金项目:中华国际医学交流基金会脑血管病青年创新基金；2022年度武汉大学中南医院临床护理研究项目 |
|
| 摘要点击次数: 19 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的：研制一种新型脑血管介入手术约束衣，探讨其在脑血管介入手术中的安全性和有效性。方法：共纳入140例行机械取栓的急性大动脉闭塞性脑卒中患者，将其分为试验组（n=69）和对照组（n=71）。对照组采用常规约束带，试验组采用新型脑血管介入手术约束衣。比较两组患者血管首次再通时间及手术总时间、30天改良Rankin评分、术中肢体脱出率、患者人均手术费用及安全性指标。结果：与对照组相比，新型手术约束衣显著缩短了血管首次再通时间（43.5±13.7 vs 50.7±15.7, P=0.039）和手术总时间（81.1±15.6 vs 93.2±21.1, P=0.027）。与对照组相比，试验组约束肢体脱出率（0% vs 35.2%, P＜0.001）和人均手术费用（76315±12400 vs 81462±14142, P=0.040）均显著减少。安全性方面，试验组约束部位皮肤发红率（8.7% vs 42.3%, P＜0.001）显著低于对照组。结论：新型脑血管介入手术约束衣经本研究证实具有安全性，并且能有效地缩短手术时间、降低患者术中肢体脱出率以及减少人均手术费用，可以带来良好的社会效益。 |
| 英文摘要: |
| Objective: To develop a new type of restraint clothing for cerebrovascular interventional surgery, and to discuss its safety and effectiveness in cerebrovascular interventional surgery. Methods: A total of 140 patients with acute great artery occlusive stroke who underwent mechanical thrombectomy were enrolled and divided into experimental group (n=69) and control group (n=71). The control group was treated with conventional restraints, and the experimental group was treated with new restraints for cerebrovascular interventional surgery. The first vascular recanalization time, total operation time, 30-day modified Rankin score, intraoperative limb prolapse rate, average surgical cost per patient were compared between the two groups. Results: Compared with the control group, the restraint clothing significantly shortened the first vascular recanalization time (P=0.039) and the total surgical time (P=0.027). Compared with the control group, the removal rate of restrained limb (P < 0.001) and the per capita surgical cost (P=0.040) in the experimental group were significantly reduced. In terms of safety, the skin redness rate of the restraint area in the experimental group was significantly lower than that in the control group (P<0.001). Conclusion: The restraint clothing is safe, can effectively shorten the operation time, reduce the rate of limb removal and reduce the per capita surgical cost, and can bring good social benefits. |
|
View Fulltext
查看/发表评论 下载PDF阅读器 |
| 关闭 |