手术和介入治疗后交通动脉瘤围术期并发症的比较分析

发布时间：2018-06-06 05:27

本文选题：动脉瘤 + 围术期护理　；参考：《重庆医学》2017年02期

【摘要】：目的比较手术或介入治疗后交通动脉瘤的围术期并发症的发生率,探讨两种治疗方法的优劣。方法选择在本院住院并进行外科手术(手术治疗组)及介入治疗(介入治疗组)的后交通动脉瘤患者,收集其年龄,性别,合并疾病,Hunt-Hess分级,围术期的并发症,相应有创治疗的采用,美国国立卫生研究院卒中量表(NIHSS评分),改良Rankin评分;比较两组之间围术期并发症及有创治疗采用及预后的差异,分析不同治疗方法的优势。结果介入治疗组的急性脑积水、消化道出血、肺部感染、败血症的发生率均高于手术治疗组,差异有统计学意义(P0.05)。在有创治疗的采用上,介入治疗组较多采用了脑脊液置换和腰池引流的方法来促进出血的吸收,减低颅内压,两组差异有统计学意义(P0.01)。结论介入治疗的后交通动脉患者具有较高的脑积水、肺部感染、消化道出血及败血症的发生率,可根据患者具体情况选择合适的治疗方法。
[Abstract]:Objective to compare the incidence of perioperative complications in patients with communicating aneurysms after operation or interventional treatment, and to explore the advantages and disadvantages of the two methods. Methods patients with posterior communicating artery aneurysms who were hospitalized in our hospital and underwent surgery (surgical treatment group) and interventional therapy (interventional group) were collected for age, sex, Hunt-Hess grade and perioperative complications. The corresponding invasive treatment, the National Institutes of Health Stroke scale and improved Rankin score were used to compare the perioperative complications, invasive treatment and prognosis between the two groups, and to analyze the advantages of different treatment methods. Results the incidence of acute hydrocephalus, gastrointestinal hemorrhage, pulmonary infection and septicemia in interventional group was higher than that in operation group (P 0.05). In the invasive treatment group, cerebrospinal fluid replacement and lumbar cistern drainage were used to promote the absorption of hemorrhage and reduce intracranial pressure, the difference between the two groups was statistically significant (P 0.01). Conclusion the incidence of hydrocephalus, pulmonary infection, gastrointestinal hemorrhage and septicemia in patients with posterior communicating artery treated by interventional therapy is higher.
【作者单位】：南京医科大学附属淮安第一医院神经内一科;
【分类号】：R651.12

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