颅内动静脉畸形术后正常灌注压突破综合征患者的护理干预

摘要

Objective To explore the nursing measures of normal perfusion pressure breakthrough syndrome (NPPB)for patients with cerebral arteriovenous malformations (CAVM). Methods Fifty-seven patients with CAVM hospitalized between January 2005 to 2010 were selected as the control group and 5 1 counterparts hospitalized between February 2010 and 201 5 were chosen as the observation group.Bothe groups were given routine nursing,while the observation group was additionally provided with strengthened nursing.The incidence of NPPB after operation,the mean arterial pressure (MAP)and local cerebral blood flow (CBF)of both groups were compared after the operation.Results No significant differences were found in the incidence of NPPB and MAP beeween 2 groups.The CBF of the observation group was significantly lower than that of the control group.Conclusion Strengthened nursing intervention can help to reduce CBF of patients after CAVM surgery,which has certain value to reduce the incidence of NPPB.%目的：探讨颅内动静脉畸形术后正常灌注压突破综合征(NPPB)的护理措施，以指导临床护理。方法选取2005年1月-2010年1月收治的颅内动静脉畸形患者57例为对照组，行常规护理；选取2010年2月-2015年2月收治的颅内动静脉畸形患者51例为观察组，在对照组基础上进行强化护理干预。所有患者治疗方案相同。比较2组患者术后 NPPB 发生率、手术前后平均动脉压(MAP)及局部脑血流量(CBF)。结果2组 NPPB 发生率及 MAP 比较，差异无统计学意义；观察组脑血流量低于对照组。结论强化护理干预措施有助于减少颅内动静脉畸形术后患者脑血流量，降低 NPPB 发生率。