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目的探讨杂交手术室行腹主动脉瘤腔内隔绝术的配合与护理。方法选择本院2013年10月—2014年10月收治的68例腹主动脉瘤患者,随机分为对照组和观察组各34例。对照组患者于杂交手术室行腔内隔绝术治疗;观察组同时给予对应的配合与护理。统计2组患者手术时间、术后住院天数,记录围手术期微量内漏、腹主动脉瘤先兆破裂、动脉出血等不良事件发生情况。结果观察组患者手术时间(126.5±13.3)min、术后住院时间(15.3±2.4)d,均短于对照组的(147.6±11.4)min和(23.6±5.3)d(P<0.05);患者围手术期不良事件发生率观察组为8.8%,低于对照组的29.4%(P<0.05)。结论杂交手术室行腹主动脉瘤腔内隔绝术的开展,应通过合理配置医疗资源、严谨的手术配合和科学的护理管理,减少围手术期不良事件的发生,促进患者术后尽早康复。
Objective To investigate the cooperation and nursing of endovascular exclusion of abdominal aortic aneurysm in hybrid operating room. Methods A total of 68 patients with abdominal aortic aneurysm admitted from October 2013 to October 2014 in our hospital were randomly divided into control group and observation group of 34 cases. Patients in the control group underwent endovascular exclusion in the hybrid operating room. The observation group received corresponding cooperation and nursing. Statistics of two groups of patients operation time, hospital stay after surgery, trace perioperative micro-leakage, abdominal aortic aneurysm rupture, arterial bleeding and other adverse events. Results The patients in the observation group had a shorter operative time (126.5 ± 13.3) min and a shorter postoperative hospital stay (15.3 ± 2.4) days than those in the control group (147.6 ± 11.4) min and (23.6 ± 5.3) d (P <0.05) The incidence of perioperative adverse events was 8.8% in the observation group, which was lower than 29.4% in the control group (P <0.05). Conclusion The implementation of endovascular graft exclusion for abdominal aortic aneurysm in hybrid operating room should reduce the occurrence of perioperative adverse events by rational allocation of medical resources, strict surgical cooperation and scientific nursing management, and promote the patients to recover as soon as possible after operation.