股-腘动脉人工血管转流术1例围手术期中西医结合护理体会

doi:10.55111/j.issn2709-1961.202112069

摘要/Abstract

摘要： 股-腘动脉人工自体血管转流术是治疗动脉硬化性闭塞症(ASO)的有效术式，其围手术期的护理至关重要。本文总结1例股-腘动脉人工自体血管转流术合并抑郁症患者的围手术期护理经验，包括心理干预、病情观察、并发症预防、饮食指导、康复锻炼、疼痛干预等。通过采用中西医结合的护理方法，进而起到改善患者负性情绪、提高治疗依从性和预防并发症的积极作用。

关键词: 人工血管转流, 闭塞性动脉硬化, 中西医结合护理, 抑郁, 心理干预, 疼痛

Abstract: The femoro-popliteal artificial vessel bypass surgery is an effective operation for the treatment of aeriosclerosis obliterations, and related perioperative nursing is critical to the patient. This paper summerzied the perioperative nursing experience in a patient undergoing femoro-popliteal artificial vessel bypass surgery for aeriosclerosis obliterations. Key issues of perioperative nuring included psychological intervention, illness observation, prevention of postoperative complications, dietary guidance, rehabilitation exercise, pain control. The goal of appling Integrated Traditional Chinese and Western medicine nursing is to relieve neagaive emotions of the patient, improve the treatment compliance and prevent the postoperative complications.

Key words: artificial vascular bypass, atherosclerosis obliterans, integrated nursing of Traditional Chinese and Western medicine, depression, psychological intervention, pain

中图分类号:

R 473.6

王美玉, 牛少辉, 智慧. 股-腘动脉人工血管转流术1例围手术期中西医结合护理体会[J]. 中西医结合护理, 2022, 8(2): 134-137.

WANG Meiyu, NIU Shaohui, ZHI Hui. Integrated nursing of Traditional Chinese and Western medicine for a patient undergoing femoro-popliteal artificial vessel bypass surgery[J]. Chinese Journal of Integrative Nursing, 2022, 8(2): 134-137.

参考文献

[1] WILTZ-JAMES L M, FOLEY J. Hospital discharge teaching for patients with peripheral vascular disease[J]. Crit Care Nurs Clin North Am, 2019, 31(1): 91-95.
[2] 万恒, 刘灏, 林智琪, 等. 27例人工血管内瘘移植物感染的处理策略[J]. 中国血液净化, 2020, 19(7): 478-481.
WAN H, LIU H, LIN Z Q, et al. Management strategy for the 27 cases with arteriovenous graft infections[J]. Chin J Blood Purif, 2020, 19(7): 478-481.(in Chinese)
[3] 郑小翠, 温晓文, 童艳青. 电子艾灸配合五行音乐疗法治疗心肾不交型失眠的疗效观察[J]. 中西医结合护理(中英文), 2018, 4(12): 74-76.
ZHENG X C, WEN X W, TONG Y Q. Effects of electronic moxibustion combined with five-element music therapy on insomnia due to heart-kidney disharmony[J]. Nurs Integr Tradit Chin West Med, 2018, 4(12): 74-76.(in Chinese)
[4] YANG L Y, LING D J, YE L F, et al. Psychological nursing intervention on anxiety and depression in patients with urinary incontinence after radical prostatectomy[J]. Medicine, 2020, 99(48): e23127.
[5] 邢飞, 赵玲花, 庄丽慧. 探讨超低频经颅磁刺激联合心理护理干预对抑郁症睡眠障碍患者疗效及睡眠质量的影响[J]. 心理月刊, 2021, 16(17): 39-40.
XING F, ZHAO L H, ZHUANG L H. Effect of ultra-low frequency transcranial magnetic stimulation combined with psychological nursing intervention on the efficacy and sleep quality of patients with depression and sleep disorders[J]. Psychol Mag, 2021, 16(17): 39-40.(in Chinese)
[6] 周付聪, 刘静. 五音疗法视角下五脏病患者习练健身气功•六字诀的配乐调式选择研究[J]. 武术研究, 2021, 6(11): 108-110, 153.
ZHOU F C, LIU J. On the music mode selection of patients with five internal organs diseases in the exercise of qigong and six-character formula[J]. Wushu Stud, 2021, 6(11): 108-110, 153.(in Chinese)
[7] 郜彦鑫, 王帅, 王秋月. 《黄帝内经》中五行音乐疗法治疗抑郁症的研究进展[J]. 山东化工, 2019, 48(5): 69-70.
GAO Y X, WANG S, WANG Q Y. Research process of five-elements music therapy in the treatment of depression [J]. Shandong Chem Ind, 2019, 48(5): 69-70.(in Chinese)
[8] 徐臻, 夏进. 耳穴埋豆联合心理护理对帕金森病患者焦虑、抑郁的影响[J]. 按摩与康复医学, 2017, 8(1): 73-74.
XU Z, XIA J. Effect of auricular point pressing bean combined with psychological nurisng on anxiety and depreesion in patients with Parkinson's disease[J]. Chin Manip Rehabilitation Med, 2017, 8(1): 73-74.(in Chinese)
[9] 姚丹, 韩新巍. 1例股-腘动脉人工自体血管转流术的护理体会[J]. 双足与保健, 2018, 27(7): 92-93.
YAO D, HAN X W. Nursing of a patient undergoing femoro-popliteal artificial vessel bypass surgery[J]. Biped Health, 2018, 27(7): 92-93.(in Chinese)
[10] 谢颖. 取栓结合血管腔内技术治疗下肢人工血管旁路转流术后移植物闭塞的围术期护理[J]. 护理研究, 2014, 28(9): 1116-1118.
XIE Y. Perioperative care of embolectomy combined with endovascular treatment of graft occlusion in patients after lower extremity artificial blood vessel bypass surgery[J]. Chin Nurs Res, 2014, 28(9): 1116-1118.(in Chinese)
[11] 刘建平, 郑保平, 刘凤恩, 等. 身痛逐瘀汤加减辅助治疗下肢动脉硬化闭塞症介入术后缺血灌注损伤的研究[J]. 中国中西医结合杂志, 2017, 37(8): 1014-1015.
LIU J P, ZHENG B P, LIU F G, et al. Study on effect of Shentong Zhuyu decoction as an adjuvant therapy for ischemia and reperfusion injury after intervention operation for lower extremities arteriosclerosis obliterans[J]. Chin J Integr Tradit West Med, 2017, 37(8): 1014-1015.(in Chinese)
[12] 李海燕, 植艳茹, 钱火红, 等. 腘动脉瘤行人工血管旁路围手术期的护理一例[J]. 海军医学杂志, 2020, 41(1): 115-116.
LI H Y, ZHI Y R, QIAN H H, et al. Nursing of a patient undergoing artificial vascular bypass surgery for popliteal artery aneurysms[J]. J Navy Med, 2020, 41(1): 115-116.(in Chinese)
[13] 任红丹, 段筱妍. 帕金森病伴抑郁症状病人的中医护理研究进展[J]. 护理研究, 2020, 34(15): 2712-2714.
REN H D, DUAN X Y. Research progress on TCM nursing of Parkinson's disease patients with depression[J]. Chin Nurs Res, 2020, 34(15): 2712-2714.(in Chinese)
[14] 杜嫩, 宁世杰, 李艳玲. 中西医结合调护措施干预下肢动脉硬化闭塞症术后临床研究[J]. 新中医, 2021, 53(7): 169-173.
DU N, NING S J, LI Y L. Clinical study on integrated Chinese and western medicine nursing measures intervening patients after surgery for atherosclerosis obliterans of lower extremities[J]. J New Chin Med, 2021, 53(7): 169-173.(in Chinese)
[15] 张敏. 中医特色护理干预在老年下肢动脉硬化闭塞症介入术病人护理中的应用[J]. 护理研究, 2017, 31(18): 2203-2206.
ZHANG M. Application of traditional Chinese medicine nursing intervention in nursing care of elderly patients with lower extremity arteriosclerosis obliterans intervention[J]. Nurs Res China, 2017, 31(18): 2203-2206.(in Chinese)