急性心肌梗死120例护理探讨

The experience of nursing 120 patients who is diagnosised as acute myocardial infarction

目的:探讨急性心肌梗死整体护理的优越性及早期护理干预的重点和内容。方法:以入院至治疗时间、冠脉再通率及各种并发症(心律失常、心衰、低血压、休克、死亡)发生率等作为观察指标,分析整体护理的益处及早期护理干预的重点和内容。结果整体护理缩短了治疗时间(溶栓组24±1.9min,PTCA组25±1.5min),减少了心衰和休克的发生率(20%、8.8%),降低了病死率(6.7%),提高了疗效。两组冠脉再通率差异无显著(P>0.05),PTCA组中严重心律失常及低血压发生率明显增高。结论:急性心肌梗死整体护理具有优越性,早期干预护理的重点应是监测心律、血压及预防心衰的发生。

Objective Discusses the superiority of holistic nursing in the acute myocardial infarction and the content and the key points of nurse intervention in the early time. Method The analysis the profit of the holistic nursing and the key point and the content of nurse intervention in the early time, taking the treatment time in hospitalized, aeteria coronaria recanalization rate, complication as the standard. Result holistic nursing reduced the treatment time （ thrombolysis group 24±1.9 min, PTCA group 25±1.5 min）, reduced the rate of heart failure and shock （20%,8.8%）, reduced the case fatality rate （6.7%）. Conclusion The holistic,nursing is superiority in the nurseing of acute myocardial infarction. The emphasis of early intervention nursing is monitoring the heart rhythm, the blood pressure and the prevention heart fades.