介入放射学杂志2023年2月第32卷第2期JInterventRadiol2023,Vol.32,No.2·护理论坛Nursingwindow·经导管三尖瓣环成形系统治疗重度三尖瓣关闭不全患者的围术期护理汤卫红，杨晓慧，史秋寅，马向南，欧健昀，丁建东，马根山【摘要】目的探索重度三尖瓣关闭不全患者经导管三尖瓣环成形系统（K-ClipTM）进行三尖瓣环成形术的围术期护理。方法2021年7至12月东南大学附属中大医院应用K-ClipTM治疗重度三尖瓣关闭不全患者3例，通过围术期护理，包括术前改善心力衰竭症状，重视心理护理，完善术前准备及制定并落实应急预案；术中密切配合手术和病情观察；术后强调体位、细化饮食管理，倾听患者主诉，监测血流动力学变化，做好并发症风险管理，实施早期康复护理，重视出院指导。结果3例患者术后均未发生严重并发症，心力衰竭症状明显改善，心功能分级提高，TR程度减轻，B型利钠肽质量浓度下降，6分钟步行试验距离增加，KCCQ评分增高。结论K-ClipTM治疗重度三尖瓣关闭不全患者的围术期护理值得在临床上推广应用。【关键词】经导管三尖瓣环成形系统；三尖瓣环成形术；重度三尖瓣关闭不全；护理中图分类号：R473文献标志码：A文章编号:1008-794X（2023）-02-0181-04PerioperativenursingforpatientswithseveretricuspidincompetencetreatedwithtranscathetertricuspidvalveringformingsystemTANGWeihong,YANGXiaohui,SHIQiuyin,MAXiangnan,OUJianyun,DINGJiandong,MAGenshan.CCURoom,AffiliatedZhongdaHospitalofSoutheastUniversity,Nanjing,JiangsuProvince210009,ChinaCorrespondingauthor:TANGWeihong,E-mail:tangwh72@163.com【Abstract】ObjectiveTodiscusstheperioperativenursingforpatientswithseveretricuspidincompetencetreatedwithtricuspidannuloplastybyusingtranscathetertricuspidvalveringformingsystem（K-ClipTM）.MethodsDuringtheperiodfromJuly2021toDecember2021attheAffiliatedZhongdaHospitalofSoutheastUniversityofChina,threepatientswithseveretricuspidincompetencereceivedtricuspidannuloplastybyusingK-ClipTM.Perioperativecareincludedpreoperativeimprovementofheartfailuresymptoms,closeattentiontopsychologicalcare,improvementofpreoperativepreparationandformulationofemergencyplans.Duringtheoperation,thenursesshouldcloselycooperatewiththeoperator.Aftertheoperation,thenursingcareshouldbeconcentratedon...
