CAJ | 학술논문

目的：探讨基底动脉血管成形术的最佳护理措施。方法收集2011年10月-2013年10月34例基底动脉狭窄血管成形术患者，对其入院后按照护理核心制度，悬挂护理警示标识，监测双上肢血压，术日计算入院后双上肢平均血压，术后72 h心电监护监测血压变化，将血压平稳地控制在110~120/70~80 mmHg水平。结果34例基底动脉狭窄血管成形术患者，术前无一例出现跌倒，术后无一例出现出血等严重并发症，患者均好转出院。结论基底动脉狭窄血管成形术术前、术后严格的执行护理制度，术前、术中、术后严格的血压等护理措施的严格执行与管理，有助于降低围手术期的并发症发生。
목적：탐토기저동맥혈관성형술적최가호리조시。방법수집2011년10월-2013년10월34례기저동맥협착혈관성형술환자，대기입원후안조호리핵심제도，현괘호리경시표식，감측쌍상지혈압，술일계산입원후쌍상지평균혈압，술후72 h심전감호감측혈압변화，장혈압평은지공제재110~120/70~80 mmHg수평。결과34례기저동맥협착혈관성형술환자，술전무일례출현질도，술후무일례출현출혈등엄중병발증，환자균호전출원。결론기저동맥협착혈관성형술술전、술후엄격적집행호리제도，술전、술중、술후엄격적혈압등호리조시적엄격집행여관리，유조우강저위수술기적병발증발생。
Objective To discuss the optimal nursing strategy for the patients receiving basilar artery angioplasty. Methods During the period from October 2011 to October 2013 at authors’ hospital, a total of 34 patients received basilar artery angioplasty. According to the hospital nursing core regulations , hanging of nursing warning tags, monitoring of blood pressure of both upper limbs, measurement of average blood pressure of both upper limbs after admission, and 72 hours ECG monitoring of blood pressure after operation as well as maintaining the patient’s blood pressure at a stable level around 110 - 120/70 - 80 mmHg, etc. were strictly carried out. Results Before operation no falling on the ground occurred in all the patients. After the operation, no severe complications such as hemorrhage occurred. All patients were in satisfactory condition at the time of discharge. Conclusion Strictly carrying out nursing core regulations, rigorously performing the nursing measures and monitoring the blood pressure before, after and during basilar artery angioplasty are helpful in reducing the incidence of perioperative complications.