一例顽固性高血压Cryofocus深低温系统冷冻消融双侧肾交感神经治疗患者的护理

摘要

Objective To report the nursing care for a patient with resistant hypertension underwent bilateral renal denervation therapy by cryofocus cryoablation system.Methods We summarized the nursing care work, which included the operation preparation, observation points, service during the operation, and the essential instruction for inpatient care and future follow-up, for one case of patient with resistant hypertension underwent bilateral renal denervation through the femoral pathway in February 2016. Results The whole operation spent 60 minutes, and after operation, the patient′s blood pressure decreased from 200/110 mmHg to (152.38±24.53)/ (83.65±12.71) mmHg. The operation was successful and the patient was discharged 3 days after operation. In the 3-month follow-up, the 24-hour mean blood pressure was 128/70 mmHg, without the presence of operation-related or nursing-related complications. Conclusions The perioperative nursing care includes the good preoperative preparation, precise nursing during the operation, and further intensive observation, which would facilitate the operation process, avoid the risk, and guarantee the operation quality.%目的：报告1例运用Cryofocus深低温冷冻系统消融双侧肾交感神经治疗顽固性高血压的护理配合和观察要点。方法回顾2016年2月在上海市第十人民医院运用介入方法经股动脉入路行深低温冷冻消融双侧肾交感神经治疗顽固性高血压1例,总结术前准备,术中配合、观察要点,术后交接注意事项和出院指导随访。结果手术全程60 min,该患者血压从术前200/110 mmHg降至术后(152.38±24.53)/(83.65±12.71) mmHg,手术成功,3 d 后出院。术后3个月随访,24 h 平均动态血压128/70 mmHg,无与护理及手术相关并发症发生。结论术前充分的准备、术中密切的配合和精准的护理措施、术后细致的观察是整个围术期的护理要点,按标准流程操作,才能有效规避风险,保证手术质量。