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探讨介入栓塞术治疗脑动静脉畸形(AVM)的术后护理体会。选取2013年2月-2016年12月在我院治疗的30例进行血管内栓塞治疗的脑动静脉畸形患者作为研究对象,在手术前对患者进行详细的病情评估,并对患者进行密切的护理,同时患者的心理护理也格外重视;在术后对患者也进行相应的密切护理措施。另外选30例患者作为对照组,进行一般的护理措施。结果在研究组30例患者中,有28例患者栓塞治疗成功,成功率为93.33%。完全栓塞的患者为24例,即完全成功率为80.00%;未出现脑出血患者,行栓塞术后患者原有临床症状出现明显减轻消失,且未出现其他严重的并发症。在对照组30例患者中,有20例患者栓塞成功,成功率为66.70%,完全栓塞者16例,完全成功率为53.33%;术后1例癫痫,1例过度灌注综合征,3例失语,7例出现头痛。两组进行比较,可明显发现研究组的术后状况明显优于对照组(P<0.05)。介入栓塞术治疗脑动静脉畸形在术前进行充分准备以及在术后严密的观察病情、细致的进行护理,是保障脑动静脉畸形患者进行介入治疗成功的关键措施。
To investigate the postoperative nursing experience of interventional embolization for cerebral arteriovenous malformation (AVM). Thirty patients with cerebral arteriovenous malformation who were treated with endovascular embolization in our hospital from February 2013 to December 2016 were enrolled in this study. The patients were carefully evaluated before operation and the patients were treated closely At the same time, the patient’s psychological care also paid special attention; the patients also received corresponding close nursing after operation. Another 30 patients were selected as a control group, the general care measures. Results Among the 30 patients in the study group, 28 patients were successfully treated with embolization with a success rate of 93.33%. Complete embolization of patients in 24 cases, the complete success rate was 80.00%; no cerebral hemorrhage in patients with embolization after the original clinical symptoms were significantly reduced and disappeared, and no other serious complications. Among the 30 patients in the control group, 20 patients were successfully embolized, with a success rate of 66.70%, complete embolism in 16 patients and complete success rate of 53.33%; postoperative epilepsy, 1 case of over-infusion syndrome and 3 cases of aphasia , 7 cases of headache. The two groups were compared, we can clearly find the postoperative condition of the study group was significantly better than the control group (P <0.05). Interventional embolization of cerebral arteriovenous malformations in the preoperative preparation and in the postoperative close observation of the condition, meticulous care, is to protect the cerebral arteriovenous malformations in patients with interventional key success measures.