急性心肌梗死经皮冠状动脉治疗的护理配合

Nursing care in the emergency percutaneous coronary intervention of acute myocardial infarction

目的:探讨急性心肌梗死(AMI)经皮冠状动脉介入治疗(PCI)术的临床疗效及护理措施。方法:收集我院近1年来105例急诊PCI患者为对象,进行回顾性分析,总结医护操作的关键及护理要点。结果:经PCI治疗105例患者,成功率为95.5%,平均随访1年,2例出现再狭窄,其余患者情况良好,10例再发心绞痛但造影证实为非原发心肌梗死血管病变。结论:AMI患者PCI术的关键是医生的技术水平和护士与医生的默契配合,准确的术前准备、术中熟练的操作技术配合及严密监护、术后的精心护理,都是患者康复的重要保证。

Objective：To explore the clinical efficacy and care measures of emergency percutaneous coronary intervention（PCI） in acute myocardial infarction.Methods：A retrospective analysis was performed on 105 patients underwent emergency percutaneous coronary intervention in Shandong Provincial Hospital over the past year.The key health care methods were summaried.Results：All the 105 cases received emergency percutaneous coronary intervention treatment.The successfuel rate was 95.5%.The patients were then followed-up over one-year period.During the follow-up,2 cases had re-stenosis but the remainings were in good condition;10 cases had angina again but coronary angiography did not show marked lesions in the previously affected artery.Conclusion：The key of PCI technique for AMI patients is the doctor＇s technical level and the tact cooperation between nurse and doctor.The accurate preoperative preparation,the skilled coordination in the operation and rigorous monitoring,and the perfect nursing care after operation,are all the important guarantee to the recovery of patients.