神经损伤与功能重建2025，Vol.20Issue(9)：501-504,528,5.DOI:10.16780/j.cnki.sjssgncj.20240715
脑血管介入手术约束衣在急诊取栓中的设计与应用
Design and Application of Restraint Garment in Emergency Thrombotomy for Cerebrovascular Interventional Surgery
摘要
Abstract
Objective: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分类
医药卫生引用本文复制引用
于果,谢斐,何易,许峰,陈芳,冯霞,王紫颖..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):501-504,528,5.基金项目
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.XKJS202018) （急性缺血性脑卒中血管内治疗术中约束应用研究,No.XKJS202018）
