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| 多模态神经监测联合心理护理干预在A型主动脉夹层患者术后恢复及生存质量的影响效果分析 |
| Analysis of the effect of multimodal neural monitoring combined with psychological nursing intervention on postoperative recovery and quality of life in patients with type A aortic dissection |
| 投稿时间：2025-11-06 修订日期：2025-12-23 |
| DOI： |
| 中文关键词: 多模态神经监测；心理护理干预；A型主动脉夹层；生存质量 |
| 英文关键词: Multimodal neural monitoring; Psychological nursing intervention; Type A aortic dissection; quality of life |
| 基金项目: |
| 作者 | 单位 | 邮编 | | 李宁* | 河南省胸科医院/郑州大学附属胸科医院 | 450000 | | 宋鹏 | 河南省胸科医院/郑州大学附属胸科医院 | | | 冯美歌 | 河南省胸科医院/郑州大学附属胸科医院 | |
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| 中文摘要: |
| 目的：探究多模态神经监测联合心理护理干预在A型主动脉夹层患者术后恢复及生存质量的影响效果。方法：选取2024年1月-2025年5月，在我院接受手术治疗的A型主动脉夹层患者120例，随机分为对照组和研究组，每组60例。对照组接受心理护理干预，研究组在对照组的基础上采用多模态神经监测（包括脑电图、近红外光谱、经颅多普勒等），比较两组患者ICU停留时间、住院时间、术后神经功能缺损评分（NIHSS）、生存质量评分、并发症发生率、及护理满意度。结果：与对照组相比，研究组ICU停留时间与住院时间均下降（P<0.05）；干预后，相比于对照组，研究组NIHSS评分均得到下降（P<0.05）；干预后，相比于对照组，研究组生存质量评分均得到上升（P<0.05）；研究组并发症总发生率低于对照组（P<0.05）；研究组总护理满意度高于对照组（P<0.05）。结论：多模态神经监测联合心理护理干预可有效促进TAAD患者术后神经功能恢复，降低并发症风险，提升生存质量，具有临床推广价值。 |
| 英文摘要: |
| Objective:Exploring the effect of multimodal neural monitoring combined with psychological nursing intervention on postoperative recovery and quality of life in patients with type A aortic dissection.Methods:120 patients with type A aortic dissection who underwent surgical treatment in our hospital from January 2024 to May 2025 were randomly divided into a control group and a study group, with 60 patients in each group. The control group received psychological nursing intervention, while the study group used multimodal neural monitoring (including electroencephalogram, near-infrared spectroscopy, transcranial Doppler, etc.) on the basis of the control group. The ICU stay time, hospitalization time, postoperative neurological deficit score (NIHSS), quality of life score, incidence of complications, and nursing satisfaction were compared between the two groups of patients.Results:Compared with the control group, the ICU stay time and hospitalization time in the study group decreased (P<0.05); After intervention, compared with the control group, the NIHSS scores in the study group decreased significantly (P<0.05); After intervention, compared with the control group, the quality of life scores in the study group increased significantly (P<0.05); The overall incidence rate of the study group was lower than that of the control group (P<0.05); The overall satisfaction of the research group was higher than that of the control group (P<0.05).Conclusion：Multi modal neural monitoring combined with psychological nursing intervention can effectively promote postoperative neurological function recovery, reduce the risk of complications, and improve the quality of life in TAAD patients, and has clinical promotion value. |
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