经皮穿刺肾动脉支架置入术围手术期护理

目的探讨肾动脉狭窄支架置入围手术期的护理。方法32例患者，其中男22例，女10例，CTA、MRA或动脉造影证实单侧肾动脉狭窄28例，双侧4例，共36支肾动脉，肾动脉狭窄程度均〉70％。局麻下选一侧股动脉穿刺，选择性肾动脉造影明确肾动脉狭窄位置，进行球囊扩张及支架置入。围手术期护理主要观察患者血压、肾功能的变化，规范使用抗凝、降血脂药物药物。结果所有肾动脉狭窄患者经支架治疗后，高血压病情明显好转。结论对于肾动脉狭窄所致的高血压病，肾动脉支架治疗是一种有效方法。

Perioperative nursing experiences of endovascular interventional treatment of renal artery stenosis

Objective To introduce perioperative nursing experiences of endovascular interventional treatment of renal artery stenosis. Methods Percutaneous transluminal balloon renal angioplasty （PTRA）and/or percutaneous transluminal renal artery stenting （PTRAS） were performed in 32 patients with renal artery stenosis （〉70%） that were diagnosised by the CTA and/or MRA scans. Selective renal angiography were performed following puncture of the femoral artery with catheterization of renal arteries to assess the length and extent of arerial stenosis of renal artery. After the renal angiography, PTRA and/or PTRAS was performed. The perioperative nursing included observing the blood presure, renal function and regular taking agents of anticoagulation and cholesterol-lowering. Results After the treatment of PTRA and/or PTRAS, the blood pressure was significant decreased in all patients. Conclusion PTRA and/or PTRAS are safe and effective treatments for the related renal hypertension.