摘要
目的:研制一种新型脑血管介入手术约束衣,探讨其在脑血管介入手术中的安全性和有效性。方法:
共纳入140例行机械取栓的急性大动脉闭塞性脑卒中患者,将其分为试验组(n=69)和对照组(n=71)。对照
组采用常规约束带,试验组采用新型脑血管介入手术约束衣。比较两组患者血管首次再通时间及手术总时
间、30 d改良Rankin评分、术中肢体脱出率、患者人均手术费用及安全性指标。结果:与对照组相比,新型手
术约束衣显著缩短了血管首次再通时间[(43.5±13.7) min v.s (50.7±15.7) min, P=0.039]和手术总时间[(81.1±
15.6) min v.s (93.2±21.1) min, P=0.027]。与对照组相比,试验组约束肢体脱出率(0% v.s 35.2%,P<0.001)和
人均手术费用[(76 315±12 400)元 v.s (81 462±14 142)元, P=0.040]均显著减少。安全性方面,试验组约束部
位皮肤发红率(8.7% v.s 42.3%, P<0.001)显著低于对照组。结论:新型脑血管介入手术约束衣安全性良好,
并且能有效地缩短手术时间、降低患者术中肢体脱出率以及减少人均手术费用。
Abstract
To develop a novel restraint garment for cerebrovascular interventional procedures and
investigate its safety and efficacy in cerebrovascular interventional surgeries. Methods: A total of 140 patients
with acute large-artery occlusive stroke undergoing mechanical thrombectomy were enrolled and divided into a
trial group (n=69) and a control group (n=71). The control group utilized conventional restraint straps, while the
trial group employed the novel restraint garment for cerebrovascular interventional procedures. Comparisons
were made between the two groups regarding the time to first vascular recanalization, total surgical time, 30-day
modified Rankin Scale (mRS) score, intraoperative limb dislodgement rate, average surgical cost per patient, and
safety indicators. Results: Compared with the control group, the novel restraint garment significantly shortened
the time to first vascular recanalization [(43.5±13.7) min v.s (50.7±15.7) min, P=0.039] and total surgical time
[(81.1±15.6) min v.s (93.2±21.1) min, P=0.027]. The trial group also demonstrated a significantly lower rate of
limb dislodgement (0% v.s 35.2% , P<0.001) and reduced average surgical cost per patient [(76 315±12 400)
yuan v.s (81 462±14 142) yuan, P=0.040] compared with the control group. In terms of safety, the rate of skin
redness at the restraint site in the trial group (8.7% v.s 42.3%, P<0.001) was significantly lower than that in the
control group. Conclusion: The novel restraint garment for cerebrovascular interventional procedures exhibits
good safety and effectively shortens surgical time, reduces the intraoperative limb dislodgement rate, and lowers
the average surgical cost per patient.
关键词
急性大动脉闭塞性脑卒中;脑血管介入;机械取栓;约束衣
Key words
acute large-artery occlusive stroke; cerebrovascular intervention; mechanical thrombectomy;
restraint garment
于果1
,谢斐1
,何易1
,许峰2
,陈芳1
,冯霞1
,王紫颖1.
脑血管介入手术约束衣在急诊取栓中的设计与应用[J]. 神经损伤与功能重建. 2025, 20(9): 501-504
Design and Application of Restraint Garment in Emergency Thrombotomy for Cerebrovascular
Interventional Surgery[J]. Neural Injury and Functional Reconstruction. 2025, 20(9): 501-504
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基金
武汉大学中南医院
学科建设类别中科
内立项项目(急性
缺血性脑卒中血管
内治疗术中约束应
用研究,No. XKJS
202018)