STUDY ON THE EFFECTS OF TARGETED NURSING INTERVENTIONS UNDER ULTRASOUND MONITORING ON PLAQUE STABILITY AND HEMODYNAMICS IN PATIENTS WITH VULNERABLE CAROTID PLAQUE

Abstract Objective To investigate the effects of targeted nursing intervention under ultrasound monitoring on plaque stability, hemodynamics, and clinical adverse events in patients with vulnerable carotid plaques. Methods A total of 90 patients with vulnerable carotid plaques were divided into two groups. The control group received routine nursing intervention, while the observation group received targeted nursing intervention under ultrasound monitoring on the basis of routine nursing. The clinical efficacy, pre- and post-treatment plaque stability indicators, hemodynamic indicators, and the incidence of clinical adverse events and adverse reactions were compared between the two groups. Results The total clinical effective rate of the observation group was significantly higher than that of the control group (p<.05). After treatment, the fibrous cap thickness in the observation group was significantly greater than that in the control group, the plaque area was significantly smaller, and the plaque echo score was significantly lower than that of the control group (p<.05). The PSV in the observation group was significantly lower than that in the control group, and the EDV was significantly higher than that of the control group (p<.05). The incidence of clinical adverse events was lower in the observation group than in the control group (p<.05). Conclusion Targeted nursing interventions under ultrasound monitoring can achieve personalized nursing adjustments by dynamically evaluating the characteristics and hemodynamic changes of vulnerable carotid plaques, effectively improving plaque stability, improving vascular blood flow status, reducing the risk of clinical adverse events, and ensuring good safety. Acknowledgment This study was supported by Research Fund Project of Hebei Provincial Health Commission (No. 20231470).