Perioperative nursing analysis for patients with chronic thromboembolic pulmonary hypertension undergoing pulmonary thromboendarterectomy
慢性血栓栓塞性肺动脉高压患者行肺动脉血栓内膜剥脱术围手术期的护理分析

摘要

目的 本研究旨在探究慢性血栓栓塞性肺动脉高压（CTEPH）患者行肺动脉血栓内膜剥脱术（PEA）的围手术期综合护理干预价值。方法 研究选取特定时段内在我院接受 PEA 手术的CTEPH患者为对象，对其实施全流程护理干预。通过对比患者术前术后的血流动力学指标、心功能分级、并发症发生情况及住院相关指标，综合评价护理成效。结果 所有患者均顺利完成手术，围手术期并发症经针对性护理后得到有效控制，患者术后血流动力学与心功能状态显著改善，住院及卧床时长均处于合理范围。结论 围手术期全程护理干预可优化PEA手术患者心肺功能，降低并发症风险，加速康复进程，具有重要临床推广价值。

Abstract

Objective This study aimed to explore the value of comprehensive perioperative nursing intervention for patients with chronic thromboembolic pulmonary hypertension (CTEPH) undergoing pulmonary endarterectomy (PEA).
Methods The study selected CTEPH patients who underwent PEA surgery at our hospital during a specific period and implemented full-process nursing intervention. The effectiveness of nursing was comprehensively evaluated by comparing hemodynamic indicators, cardiac function classification, complication incidence, and hospitalization-related metrics before and after surgery.
Results All patients successfully completed the surgery. Targeted nursing measures effectively controlled perioperative complications, significantly improved hemodynamic and cardiac function status postoperatively, and maintained reasonable hospitalization and bed rest durations.
Conclusion   Comprehensive perioperative nursing intervention can optimize cardiopulmonary function, reduce complication risks, and accelerate recovery in PEA patients, demonstrating significant clinical value for promotion.