基于脑血管3D模型对颅内动脉狭窄患者行介入诊疗宣教的效果观察

吴倩; 付益蕾; 吴敏; 胡俊

doi:10.16016/j.2097-0927.202305080

您当前的位置：

首页 >

文章列表页 >

基于脑血管3D模型对颅内动脉狭窄患者行介入诊疗宣教的效果观察

临床医学 | 更新时间：2026-01-09

- 基于脑血管3D模型对颅内动脉狭窄患者行介入诊疗宣教的效果观察
- Effectiveness of health education for intracranial artery stenosis patients undergoing interventional diagnosis and treatment based on 3D modeling of cerebral blood vessels
- 陆军军医大学学报 2024年46卷第3期页码：294-封3
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院神经内科
- 作者简介：
  
  [ 胡俊，E-mail: hujuncq@163.com HU Jun, E-mail: hujuncq@163.com
- 基金信息：
  
  重庆市研究生教育教学改革研究项目(yjg213143)
- DOI：10.16016/j.2097-0927.202305080
  中图分类号： R322.81;R473.74;R743
- 收稿：2023-05-24，
  
  修回：2023-08-02，
  
  纸质出版：2024-02-15
- 稿件说明：
移动端阅览
吴倩, 付益蕾, 吴敏, 等. 基于脑血管3D模型对颅内动脉狭窄患者行介入诊疗宣教的效果观察[J]. 陆军军医大学学报, 2024,46(3):294-封3.

Qian WU, Yilei FU, Min WU, et al. Effectiveness of health education for intracranial artery stenosis patients undergoing interventional diagnosis and treatment based on 3D modeling of cerebral blood vessels[J]. Journal of Army Medical University, 2024, 46(3): 294-封3.
吴倩, 付益蕾, 吴敏, 等. 基于脑血管3D模型对颅内动脉狭窄患者行介入诊疗宣教的效果观察[J]. 陆军军医大学学报, 2024,46(3):294-封3. DOI： 10.16016/j.2097-0927.202305080.

Qian WU, Yilei FU, Min WU, et al. Effectiveness of health education for intracranial artery stenosis patients undergoing interventional diagnosis and treatment based on 3D modeling of cerebral blood vessels[J]. Journal of Army Medical University, 2024, 46(3): 294-封3. DOI： 10.16016/j.2097-0927.202305080.

摘要

目的

探讨结合使用脑血管3D模型对颅内动脉狭窄患者行介入诊疗宣教的作用。

方法

选取2022年我院神经内科因颅内动脉狭窄需行介入诊治患者70例，按随机数字分为观察组和对照组，每组35例。颅内动脉狭窄部位包括椎动脉和大脑中动脉。观察组采用术前常规宣教模式结合3D模型进行健康宣教，对照组采用统一宣教单、幻灯片进行常规术前健康宣教。采用自制宣教效果评分量表在宣教前后进行评分，比较两组患者颅内动脉狭窄认识评分、治疗方案知晓评分、就医满意度评分。

结果

在进行宣教前，两组患者对颅内血管的认知(正常颅内动脉的认识、颅内动脉闭塞的认识、血管狭窄治疗的认识)比较，差异无统计学意义。在实施宣教后，两组患者对颅内血管的认知均升高；但观察组中正常颅内动脉的认识评分、颅内动脉闭塞的认识评分、血管狭窄治疗认识评分、治疗方案知晓评分、就医满意度均明显高于对照组，差异均有统计学意义(

＜0.05)。实施宣教干预后，观察组内的大脑中动脉、椎动脉狭窄患者宣教效果评分明显高于对照组，差异有统计学意义(

＜0.05)。

结论

结合3D模型的健康宣教模式可提高患者颅内动脉狭窄诊治的认知，提高就医满意度，提高患者的依从性及颅内动脉狭窄的介入诊治率，从而预防颅内动脉狭窄导致的卒中。

Abstract

Objective

To explore the effect of health education based on interactive 3D-modeling of intracranial artery on interventional diagnosis and treatment for patients with intracranial artery stenosis.

Methods

A total of 70 patients requiring interventional diagnosis and treatment due to intracranial artery stenosis admitted to our department in 2022 were enrolled

and randomly divided into observation group and control group

with 35 cases in each group. Their stenotic sites of intracranial arteries included the vertebral and middle cerebral arteries. The observation group received the preoperative conventional education mode combined with interactive 3D-modeling to carry out health education

while the control group got the unified education sheet and slides to carry out routine preoperative health education. A self-made publicity and education effectiveness rating scale was used to score before and after the publicity and education

and their scores of awareness of intracranial artery stenosis

awareness of treatment plans

and satisfaction with medical treatment were compared between the 2 groups.

Results

Before the health education

there was no statistical differences in their awareness scores concerning intracranial vessels(normal intracranial arteries

intracranial arterial occlusion

and vascular stenosis treatment) between the 2 groups patients. After the implementation of education

the awareness scores of intracranial vessels were elevated in both groups

but the awareness scores of the normal intracranial artery

intracranial artery occlusion

vascular stenosis treatment

and treatment satisfaction were significantly higher in the observation group than the control group(

0.05). Moreover

the patients with middle cerebral artery and vertebral artery stenosis from the observation group obtained obviously higher propaganda score than those from the control group (

0.05).

Conclusion

The health education model combined with 3D-modeling can improve the patient's awareness of the diagnosis and treatment of intracranial artery stenosis

promote their satisfaction of medical treatment

and thus increase their compliance and the rate of interventional diagnosis and treatment

and then finally

prevent strokes caused by intracranial artery stenosis.

关键词

Keywords

references

FEIGIN V L, STARK B A, JOHNSON C O, et al . Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019[J ] . Lancet Neurol, 2021, 20(10): 795-820. DOI: 10.1016/S1474-4422(21)00252-0.

王拥军, 李子孝, 谷鸿秋, 等. 中国卒中报告2020(中文版)(1)[J]. 中国卒中杂志, 2022, 17(5): 1037-1043. DOI: 10.3969/j.issn.1673-5765.2022.05.001.

WANG Y J, LI Z X, GU H Q, et al . China stroke report 2020(Chinese version)(1)[J ] . Chin J Stroke, 2022, 17(5): 1037-1043. DOI: 10.3969/j.issn.1673-5765.2022.05.001.

HURFORD R, WOLTERS F J, LI L X, et al . Prevalence, predictors, and prognosis of symptomatic intracranial stenosis in patients with transient ischaemic attack or minor stroke: a population-based cohort study[J ] . Lancet Neurol, 2020, 19(5): 413-421. DOI: 10.1016/S1474-4422(20)30079-X.

SWEID A, HAMMOUD B, RAMESH S, 等. 血管闭塞致急性缺血性卒中的介入治疗[J]. 中国卒中杂志, 2019, 14(12): 1270-1274. DOI: 10.3969/j.issn.1673-5765.2019.12.013.

SWEID A, HAMMOUD B, RAMESH S, et al . Interventions for acute ischaemic stroke with large vessel occlusion and beyond[J ] . Chin J Stroke, 2019, 14(12): 1270-1274. DOI: 10.3969/j.issn.1673-5765.2019.12.013.

刘婷, 杨德雨, 刘莉, 等. 3D打印技术在脑血管病中的应用进展[J]. 中国卒中杂志, 2020, 15(8): 916-920. DOI: 10.3969/j.issn.1673-5765.2020.08.019.

LIU T, YANG D Y, LIU L, et al . Application of 3D printing technology in cerebrovascular diseases[J ] . Chin J Stroke, 2020, 15(8): 916-920. DOI: 10.3969/j.issn.1673-5765.2020.08.019.

缪化春, 吴锋, 袁权, 等. 3D打印模型在脑血管解剖教学中的应用[J]. 齐齐哈尔医学院学报, 2019, 40(10): 1277-1278. DOI: 10.3969/j.issn.1002-1256.2019.10.040.

MIAO H C, WU F, YUAN Q, et al . Application of 3D printing model in the teaching of cerebrovascular anatomy[J ] . J Qiqihar Med Univ, 2019, 40(10): 1277-1278. DOI: 10.3969/j.issn.1002-1256.2019.10.040.

倪慧霞, 赵卫, 胡继红, 等. 基于CTA数据源3D打印技术在神经介入教学中的应用[J]. 昆明医科大学学报, 2018, 39(1): 136-139. DOI: 10.3969/j.issn.1003-4706.2018.01.031.

NI H X, ZHAO W, HU J H, et al . Application effects of three-dimensional printing technology based on CT angiography in the education of interventional neuroradiology[J ] . J Kunming Med Univ, 2018, 39(1): 136-139. DOI: 10.3969/j.issn.1003-4706.2018.01.031.

黄星, 刘祯, 王旋, 等. 3D打印技术在神经外科手术中的应用[J]. 中华神经医学杂志, 2018, 17(10): 1014-1018. DOI: 10.3760/cma.j.issn.1671-8925.2018.10.008.

HUANG X, LIU Z, WANG X, et al . Three dimensional printing technology in neurosurgery[J ] . Chin J Neuromed, 2018, 17(10): 1014-1018. DOI: 10.3760/cma.j.issn.1671-8925.2018.10.008.

张锦英. 新医学模式下的医患合作式决策诊疗辨析[J]. 医学与哲学, 2015(12): 16-18, 23.

ZHANG J Y. Analysis on shared decision making of diagnosis and treatment under new medical model[J]. Med Philos, 2015(12): 16-18, 23.

MCGUIRE L S, FUENTES A, ALARAJ A. Three-dimensional modeling in training, simulation, and surgical planning in open vascular and endovascular neurosurgery: a systematic review of the literature[J]. World Neurosurg, 2021, 154: 53-63. DOI: 10.1016/j.wneu.2021.07.057.

LANGRIDGE B, MOMIN S, COUMBE B, et al . Systematic review of the use of 3-dimensional printing in surgical teaching and assessment[J ] . J Surg Educ, 2018, 75(1): 209-221. DOI: 10.1016/j.jsurg.2017.06.033.

魏晓松, 刘征, 庄乾元, 等. 3D打印技术在经皮肾镜取石术术前规划及医患沟通中的应用研究[J]. 中华泌尿外科杂志, 2015, 36(12): 881-885. DOI: 10.3760/cma.j.issn.1000-6702.2015.12.

WEI X S, LIU Z, ZHUANG Q Y, et al . Application of 3D-printing technology in preoperative planning and doctor-patient consultation of percutaneous nephrolithotomy[J ] . Chin J Urol, 2015, 36(12): 881-885. DO I: 10.3760/cma.j.issn.1000-6702.2015.12.

LEUNG G, PICKETT A T, BARTELLAS M, et al . Systematic review and meta-analysis of 3D-printing in otolaryngology education[J ] . Int J Pediatr Otorhinolaryngol, 2022, 155: 111083. DOI: 10.1016/j.ijporl.2022.111083.

刘靓, 张丽娟, 魏芬芬, 等. 基于3D打印模型的健康宣教对胸腰椎结核患者的护理效果研究[J]. 中华全科医学, 2019, 17(7): 1230-1233. DOI: 10.16766/j.cnki.issn.1674-4152.000908.

LIU L, ZHANG L J, WEI F F, et al . Effect of 3D printing model assisted health education on nursing in patients with thoracolumbar tuberculosis[J ] . Chin J Gen Pract, 2019, 17(7): 1230-1233. DOI: 10.16766/j.cnki.issn.1674-4152.000908.

洪文瑶, 刘宇清, 黄绳跃, 等. 3D打印技术在颅内动静脉畸形个体化治疗中的初步应用体会[J]. 中华神经外科疾病研究杂志, 2018, 17(1): 74-75.

HONG W Y, LIU Y Q, HUANG S Y, et al . Preliminary application of 3D printing technology in individualized treatment of intracranial arteriovenous malformation[J ] . Chin J Neurosurg Dis Res, 2018, 17(1): 74-75.

王惠贤. 健康教育是建立新型护患关系的重要环节[J]. 实用护理杂志, 2001(3): 54-55.

WANG H X. Health education is an important part of establishing a new nurse-patient relationship[J]. J Pract Nurs, 2001(3): 54-55.

曾菲妮, 李丽, 袁卫军. 三维可视化术前宣教对正颌患者心理状况的影响[J]. 中国口腔颌面外科杂志, 2018, 16(1): 73-77. DOI: 10.19438/j.cjoms.2018.01.016.

ZENG F N, LI L, YUAN W J. 3D-visualization aided preoperative education prepares patients with better psychological status for orthognathic surgery[J]. China J Oral Maxillofac Surg, 2018, 16(1): 73-77. DOI: 10.19438/j.cjoms.2018.01.016.

林黎, 刘天云, 林惠仙. 我国医疗风险影响因素研究现状[J]. 护士进修杂志, 2021, 36(9): 799-802. DOI: 10.16821/j.cnki.hsjx.2021.09.007.

LIN L, LIU T Y, LIN H X. Research status of influencing factors of medical risk in China[J]. J Nurses Train, 2021, 36(9): 799-802. DOI: 10.16821/j.cnki.hsjx.2021.09.007.

VAN DE BELT T H, NIJMEIJER H, GRIM D, et al . Patient-specific actual-size three-dimensional printed models for patient education in glioma treatment: first experiences[J ] . World Neurosurg, 2018, 117: e99-e105. DOI: 10.1016/j.wneu.2018.05.190.

EISENMENGER L B, WIGGINS R H, FULTS D W, et al . Application of 3-dimensional printing in a case of osteogenesis imperfecta for patient education, anatomic understanding, preoperative planning, and intraoperative evaluation[J ] . World Neurosurg, 2017, 107: 1049. e1-1049. e7. DOI: 10.1016/j.wneu. 2017.08.026.

HABIB A, JOVANOVICH N, MUTHIAH N, et al . 3D printing applications in spine surgery: an evidence-based assessment toward personalized patient care[J ] . Eur Spine J, 2022, 31(7): 1682-1690. DOI: 10.1007/s00586-022-07250-7.

ZHONG N P, ZHAO X. 3D printing for clinical application in otorhinolaryngology[J]. Eur Arch Otorhinolaryngol, 2017, 274(12): 4079-4089. DOI: 10.1007/s00405-017-4743-0.

DONG M Q, CHEN G Z, QIN K, et al . Development of three-dimensional brain arteriovenous malformation model for patient communication and young neurosurgeon education[J ] . Br J Neurosurg, 2018, 32(6): 646-649. DOI: 10.1080/02688697.2018.1424320.

TAM C H A, CHAN Y C, LAW Y, et al . The role of three-dimensional printing in contemporary vascular and endovascular surgery: a systematic review[J ] . Ann Vasc Surg, 2018, 53: 243-254. DOI:10.1016/j.avsg.2018.04.038.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

暂无数据