Perioperative nursing for patients undergoing extracranial-Intracrainal bypass for Moyamoya disease
10.3760/j.issn.1674-2907.2014.31.025
- VernacularTitle:颅内外血管重建术治疗烟雾病的围术期护理
- Author:
Yueshu ZHAO
1
;
Cuilian SUN
;
Ping LI
;
Chengcheng WANG
;
Song FENG
;
Yong YAO
;
Feng JIN
Author Information
1. 272029 济宁医学院附属医院神经外科暨神经肿瘤学实验室
- Keywords:
Extracranial-intracranial bypass;
Moyamoya disease;
Perioperative nursing care
- From:
Chinese Journal of Modern Nursing
2014;20(31):3971-3973
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the perioperative nursing for patients undergoing extracranial-intracranial bypass for treatment of Moyamoya disease.Methods Twenty-eight patients with Moyamoya disease who were refractory to maximal medical therapy were recruited in our hospital from March, 2011 to December, 2012, for extracranial-intracranial bypass surgery.Results For the twenty-eight patients with Moyamoya disease, twenty-three had improved in clinical symptoms after EC-IC bypass, the incidence of TIA and cerebral hemorrhage were reduced;postoperative aphasia occurred in four cases;one patient was comatose after operation and complicated with pneumonia.Under appropriate treatment and nursing,twenty-seven patients recovered in two weeks without complications like pneumonia or Deep Venous Thrombosis ( DVT ) .The only patient with complications recovered and was discharged in three weeks under careful nursing.Conclusions For Moyamoya disease patients undergoing EC-IC bypass surgery, timely and intensively perioperative nursing care, prevention and early management of complications, are the key factors of improving clinical outcome and ensuring patient recovery.