Department of Vascular Surgery, Taizhou Hospital, Zhejiang Province, Taizhou 317000, China.
Contrast Media Mol Imaging. 2022 May 25;2022:4488797. doi: 10.1155/2022/4488797. eCollection 2022.
Acute lower extremity arterial embolism (AE) is a serious clinical emergency, and, if not treated in time, it can easily lead to limb ischemia and necrosis and eventually facing amputation, which seriously damages patients' physical and mental health. In the past, the conventional drug thrombolytic therapy had slow and limited efficacy, and the best time for treatment is easily delayed, while arterial dissection and thrombectomy treatment, although fast, is traumatic and has many complications, which is not easily accepted by patients. The aim of this study was to investigate the value of evidence-based care model in the application of interventional thrombolysis for acute lower limb arterial embolism. Seventy-two patients with acute lower limb arterial embolism who underwent interventional thrombolysis treatment received by the Department of Vascular Surgery of our hospital from July 2016 to December 2021 were randomly divided into a control group (given conventional nursing services) and a quality group (given full quality nursing services) to compare the effect of nursing services in the two groups. The results showed that the postoperative psychological status of patients in the quality group was significantly better than that of patients in the control group ( < 0.05). The total incidence of postoperative adverse events and the total treatment efficiency of the quality group were better than those of the control group ( < 0.05). The efficacy of quality nursing care in patients with acute lower extremity arterial embolism is more desirable than conventional nursing care and is recommended. The site of vascular occlusion after bypass surgery can be clarified when angiography is performed after thrombolytic therapy, which can help secondary surgical intervention to prolong the time to patency. The efficacy of quality nursing care in patients with acute lower extremity arterial embolism is more desirable than that of conventional nursing care and is recommended.
急性下肢动脉栓塞（AE）是一种严重的临床急症，如果不能及时治疗，很容易导致肢体缺血坏死，最终面临截肢，严重损害患者身心健康。过去，常规药物溶栓治疗效果缓慢且有限，治疗的最佳时间很容易被延误，而动脉夹层和血栓切除术治疗虽然快速，但具有创伤性，且并发症较多，不易被患者接受。本研究旨在探讨循证护理模式在急性下肢动脉栓塞介入溶栓治疗中的应用价值。2016 年 7 月至 2021 年 12 月，我院血管外科收治的 72 例急性下肢动脉栓塞患者行介入溶栓治疗，随机分为对照组（给予常规护理服务）和质量组（给予全程优质护理服务），比较两组护理服务效果。结果显示，质量组患者术后心理状态明显优于对照组（<0.05）。质量组术后不良反应总发生率及总治疗有效率均优于对照组（<0.05）。与常规护理相比，质量护理对急性下肢动脉栓塞患者的疗效更为理想，推荐使用。溶栓治疗后行血管造影可明确旁路手术后血管闭塞部位，有助于二次手术干预延长再通时间。与常规护理相比，质量护理对急性下肢动脉栓塞患者的疗效更为理想，推荐使用。
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