脑血管造影术后不同护理方法的临床效果研究

摘要

目的:探讨脑血管造影术后的护理方法.方法:将160例经股动脉穿刺脑血管造影的患者随机抽分为观察组和对照组各80例.两组患者均用弹力绷带压迫加沙袋压迫止血,观察组术后采用沙袋压迫穿刺局部4h,4h后可采取多种体位休息,患侧下肢可左右移动,小腿可曲伸,12 h后拆除绷带;对照组术后常规沙袋压迫穿刺局部6h,患肢制动12 h、静卧24h,24 h后拆除绷带.观察并比较两组患者并发症发生率.结果:两组患者术后血管并发症发生率无统计学差异(P＞0.05),但观察组不适症状发生率低于对照组(P＜0.05).结论:脑血管造影术后采用沙袋压迫局部4h,4h后可采取多种体位休息,患侧下肢可左右移动,小腿可曲伸,12 h后拆除绷带,之后0.5h可床上活动,2h可缓慢下地活动是完全安全可靠的.%Objective:To explore the nursing method after the cerebral angiography.Methods:160 cases of patients with cerebral angiography by femoral artery puncture were randomly selected and divided into two groups.Two groups of patients with elastic bandages with sandbags oppression hemostasis.The intervention group 80 cases,postoperative use of sandbags oppression puncture and local 4 h,4 h can take a variety of postural rest,the lower limb can move left and right leg,flex,12 h after the removal of the bandage.80 cases of the control group,routine postoperative sandbags oppression puncture and local 6 h.The limb braking 12 h,resting 24 h,24 h after the removal of the bandage.The two groups were observed and compared complications.Results:The two groups of patients,there was no significant difference in vascular complications (P ＞ 0.05).But the symptoms had significant difference,the contrast group was higher than that in observation group(P ＜ 0.05).Conclusion:Cerebral angiography with sandbags oppression of local 4 h,4 h can take a variety of postural rest,the lower limb can move left and right leg,flex,12 h after removing the bandages,after 0.5 h bed activity,2 h can slow down activity is completely feasible and safe.