超高龄冠心病患者150例临床护理

Clinical nursing care of 150 over-aged patients with coronary heart disease

目的:探讨超高龄冠心病患者的临床特点、危险因素及护理对策。方法:对150例超高龄冠心病患者的年龄、合并疾病、冠心病类型、临床症状、危险因素以及不同数量的危险因素与冠状动脉病变支数和部位的关系进行分析研究。结果:冠状动脉以多支病变为主(66.9%),糖尿病、陈旧性心肌梗死、脑梗死在不同病变支数分组中具有显著性差异(P<0.05)。结论:糖尿病、陈旧性心肌梗死、脑梗死是超高龄患者冠状动脉病变严重程度的危险因素,超高龄冠心病患者冠状动脉病变支数多,狭窄程度严重,护理难度大,对护士的要求高,尤其需要相关的专科护理人员。

Objective ： To study the clinical characteristics of over - aged patients with coronary heart disease, risk factors and countermeasures of nursing care. Methods： The study was made on patient＇s age, associated diseases, type of coronary heart disease, clinical manifestation, risk factors and the relationship between amounts of risk factors and symptoms of coronary heart disease. Results ： Multiple - vessels lesion mostly occurred in coronary heart disease （66.9%）. The significant differences were found in the incidence of diabetes, remote myocardial infarction according to the grouping of lesion of coronary arteries （ P 〈 0. 05 ）. Conclusion： Diabetes, remote myocardial infarction and cerebral infarction are regarded as the risk factors to result in worse changes of coronary arteries in the over - aged patients with coronary heart disease. The nursing specialists are demanded to carry out nursing care because of the numbers of affected and stricture coronary arteries.