直接联合间接血管重建术治疗成人缺血型烟雾病围术期护理

摘要

目的：探讨直接联合间接血管重建术治疗缺血型烟雾病的围术期护理。方法选择20例缺血型烟雾病患者，术前进行健康宣教、积极的心理干预，做好充分的术前准备，术后密切观察病情变化，及时观察并发症的发生，并指导饮食和运动。结果18例患者术后恢复顺利，无严重并发症；1例患者术后同侧大面积脑梗死，1例患者术后手术侧对侧出现大面积脑梗死，经积极治疗和精心护理，恢复良好。结论直接联合间接血管重建术是治疗缺血型烟雾病的有效方法，采取正确积极有效的围术期护理有助于确保手术效果、减少并发症发生和促进患者康复。%Objective To discuss perioperative nursing of adult ischemic moyamoya disease patients who underwent direct and indirect vascular reconstruction.Methods 20 patients with is-chemic moyamoya disease received health education,psychological intervention and sufficient pre-operative preparation before operation.Postoperative situation and complications were observed carefully,and the guidance of diet and exercise were given to the patients.Results 18 cases re-covered without serious complications.ipsilateral cerebral infarction in large area found in one case, contralateral cerebral infarction in large area happened in one case,and they recovered well after ac-tive treatment and careful nursing.Conclusion Direct combined with indirect vascular reconstruc-tion is an effective method in the treatment of ischemic moyamoya disease,positive and effective perioperative nursing can help operation effect,reduce the occurrence rate of complications and pro-mote recovery of patients.