慢性颈内动脉闭塞复合术后患者高灌注综合征的风险评估及护理

doi:10.3761/j.issn.0254-1769.2020.11.018

中华护理杂志 ›› 2020, Vol. 55 ›› Issue (11): 1706-1709.DOI: 10.3761/j.issn.0254-1769.2020.11.018

慢性颈内动脉闭塞复合术后患者高灌注综合征的风险评估及护理

梁婧婧(),祝成红,孙方贞,王明珠,刘云娥()

100088 北京市火箭军特色医学中心神经介入科（梁婧婧,孙方贞,王明珠,刘云娥）,护理部（祝成红）

收稿日期:2019-12-23 出版日期:2020-11-15 发布日期:2020-11-18
通讯作者: 刘云娥
作者简介:梁婧婧:女,本科,护师,E-mail:1063092364@qq.com
基金资助:
北京市科委“首都临床特色应用研究”专项课题(Z1811-00001718041)

Risk assessment and nursing highlights of postoperative hyperperfusion syndrome in patients with carotid artery occlusion surgery

LIANG Jingjing(),ZHU Chenghong,SUN Fangzhen,WANG Mingzhu,LIU Yune()

Received:2019-12-23 Online:2020-11-15 Published:2020-11-18
Contact: Yune LIU

摘要/Abstract

摘要：

总结65例慢性颈内动脉闭塞复合术后患者高灌注综合征的风险评估及护理要点。通过成立高灌注综合征风险评估管理小组、总结高风险因素、制订风险评估表,对患者进行风险评估及分级。护理上,对高风险患者加强风险管理,提高预警意识;实施血压三级管理,严格控制血压;密切观察病情,进行专科病情监测。该组患者经过上述风险评估与护理,高灌注综合征发生率为3.08%,低于5.40%的报告数据,且预后较好,均痊愈出院。

关键词: 高灌注综合征, 风险筛查, 围手术期护理

Abstract:

To summarize the risk assessment and nursing highlights of postoperative hyperperfusion syndrome in 65 patients with carotid artery occlusion surgery. By establishing a risk assessment management team,summarizing high-risk factors,formulating risk assessment form,patients were evaluated and classified into different levels. Nursing highlights included strengthening the risk management of patients with high-risk,improving early warning consciousness,implementing three-level blood pressure management method to control blood pressure,and the close observation of the patients. Under the above risk assessment and nursing care,the incidence of high perfusion syndrome was 3.08%,which was lower than the reported 5.4%. All the patients were discharged with full recovery.

Key words: Cerebral Hyperperfusion Syndrome, Risk Screening, Perioperative Nursing

梁婧婧,祝成红,孙方贞,王明珠,刘云娥. 慢性颈内动脉闭塞复合术后患者高灌注综合征的风险评估及护理[J]. 中华护理杂志, 2020, 55(11): 1706-1709.

LIANG Jingjing,ZHU Chenghong,SUN Fangzhen,WANG Mingzhu,LIU Yune. Risk assessment and nursing highlights of postoperative hyperperfusion syndrome in patients with carotid artery occlusion surgery[J]. Chinese Journal of Nursing, 2020, 55(11): 1706-1709.

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慢性颈内动脉闭塞复合术后患者高灌注综合征的风险评估及护理

Risk assessment and nursing highlights of postoperative hyperperfusion syndrome in patients with carotid artery occlusion surgery

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