CAJ | 학술논문

目的：探讨直接联合间接血管重建术治疗缺血型烟雾病的围术期护理。方法选择20例缺血型烟雾病患者，术前进行健康宣教、积极的心理干预，做好充分的术前准备，术后密切观察病情变化，及时观察并发症的发生，并指导饮食和运动。结果18例患者术后恢复顺利，无严重并发症；1例患者术后同侧大面积脑梗死，1例患者术后手术侧对侧出现大面积脑梗死，经积极治疗和精心护理，恢复良好。结论直接联合间接血管重建术是治疗缺血型烟雾病的有效方法，采取正确积极有效的围术期护理有助于确保手术效果、减少并发症发生和促进患者康复。
목적：탐토직접연합간접혈관중건술치료결혈형연무병적위술기호리。방법선택20례결혈형연무병환자，술전진행건강선교、적겁적심리간예，주호충분적술전준비，술후밀절관찰병정변화，급시관찰병발증적발생，병지도음식화운동。결과18례환자술후회복순리，무엄중병발증；1례환자술후동측대면적뇌경사，1례환자술후수술측대측출현대면적뇌경사，경적겁치료화정심호리，회복량호。결론직접연합간접혈관중건술시치료결혈형연무병적유효방법，채취정학적겁유효적위술기호리유조우학보수술효과、감소병발증발생화촉진환자강복。
Objective To discuss perioperative nursing of adult ischemic moyamoya disease patients who underwent direct and indirect vascular reconstruction.Methods 20 patients with is-chemic moyamoya disease received health education,psychological intervention and sufficient pre-operative preparation before operation.Postoperative situation and complications were observed carefully,and the guidance of diet and exercise were given to the patients.Results 18 cases re-covered without serious complications.ipsilateral cerebral infarction in large area found in one case, contralateral cerebral infarction in large area happened in one case,and they recovered well after ac-tive treatment and careful nursing.Conclusion Direct combined with indirect vascular reconstruc-tion is an effective method in the treatment of ischemic moyamoya disease,positive and effective perioperative nursing can help operation effect,reduce the occurrence rate of complications and pro-mote recovery of patients.