诊断性转脑血管造影后的早期出行协议:一个基于证据的实践项目
Hao Liang1, Richun Ye1, Nana Song1
1Department of Neurology, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese medicine, Dade Road 111, Yuexiu District, Guangzhou510120, Guangdong, China.
BMC neurology
|March 26, 2024
概括
转脑血管造影 (TFA) 后的早期出行显著减少了患者的不适和疼痛,而不会增加血管并发症. 这种基于证据的协议改善了TFA手术后的患者舒适度.
科学领域:
- 心血管医学 心血管医学
- 干预性放射学 干预性放射学
- 患者护理协议 患者护理协议
背景情况:
- 目前的后脑血管造影 (TFA) 协议通常涉及长时间的固定,导致患者显著的不适.
- 在TFA后,对于最佳的行走策略缺乏共识.
研究的目的:
- 评估基于证据的早期出行协议,用于接受TFA的患者.
- 评估该方案对预防血管并发症和减少患者不适的影响.
主要方法:
- 一项前性准实验性研究,涉及214名接受手动压缩TFA的患者.
- 早期行走组 (顺序定位和早期动员) 与对照组 (8小时仰卧休息) 的比较.
- 评估血管并发症 (出血,血瘤,湿疹) 和舒适度 (疼痛评分,血压).
主要成果:
- 两组之间没有出血事件,出血量或血液瘤区域的显著差异.
- 在早期行走小组 (P=0.031) 中,形的面积显著减少 (P=0.031).
- 显著降低腰部疼痛和腿部疼痛得分,并在TFA (P<0.05) 后的晚几个小时内在早期出行组中降低静缩和静缩血压 (P<0.05).
结论:
- 基于证据的早期出行协议对于接受TFA的患者是安全有效的.
- 这种方案提高了患者的舒适度,并降低了疼痛水平.
- 早期行走并不会增加TFA后血管并发症的发生率.
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