心房纤颤病人B型利钠肽变化与护理要点

Change of b-type natriuretic peptide in patients with atrial fibrillation and related nursing

目的测定心房纤颤(房颤)病人血B型利钠肽(BNP)水平并探讨其护理要点。方法抽静脉血化验45例住院房颤病人的血B型利钠肽,并与35例非房颤病例对照;2组病人采取不同级别的护理措施。结果房颤组病人血BNP水平较对照组明显升高[(161±119)pg/ml和(89±64)pg/ml,t=4.87,P<0.01];2组病人对护理工作满意者分别有(43/45)例和(30/35)例,2组对比无显著性差异,(P>0.05)。结论房颤病人血BNP水平会增高,护理工作者应了解这些变化,并应用于护理实践中。

Objective To measure blood natriuretic peptide（BNP） of patients with atrial fibrillation and explore the related nursing. Methods Forty-five inpatients with atrial fibrillation（atrial fibrillation group） and thirty-five patients of sinus rhythm inpatients（control group） were measured blood BNP. Their nursing measures were performed differently. Results Average blood BNP concentration of atrial fibrillation group was significantly higher than that of sinus rhythm group[（161±119）pg/ml and （89±64）pg/ml, t = 4.87 ,P〈 0. 0011 . The number of patients who were satisfied with nursing in atrial fibrillation group and control group were 43 and 30 cases respectively, but no statistical difference （P 〉 0.05）. Conclusions Blood BNP concentration of patients with atrial fibrillation is increased, so nurses should master the knowledge and take care of the patients comprehensively.