急性心肌梗死介入治疗术中恶心呕吐的护理

The nursing care of nausea and vomiting occurred in interventional treatment for acute myocardial infarction

目的探讨急性心肌梗死(AMI)行经皮冠状动脉内介入(PCI)术中恶心呕吐及时有效的护理在AMI患者治疗中的辅助价值。方法收集中国医科大学附属第四医院2010年1月-2011年2月共109例AMI行PCI术中恶心呕吐患者,其中21例患者出现恶心症状,83例患者出现1～3次呕吐,5例严重患者出现4～5次并伴喷射性呕吐。予恶心呕吐患者护理评估,并对恶心呕吐患者实施心理护理,恶心护理,放松疗法,呕吐姿势指导,呕吐护理,遵医嘱平衡补液等护理方法,确保手术顺利进行。结果 21例出现恶心症状的患者采用此护理方案未发生呕吐,83例发生恶心伴呕吐患者通过采用此护理方案给予处理,确保了手术未间断持续进行,5例严重患者再次给予心理护理,呕吐姿势指导,最终顺利的完成了手术。结论 AMI患者在PCI术中用恰当的方法处理好恶心呕吐在AMI行PCI术中可起到重要的辅助作用。

Objective To investigate the effective nursing measures of nausea and vomiting occurred in percutaneous coronary intervention for acute myocardial infarction.Methods During the period from Jan.2010 to Feb.2011,percutaneous coronary intervention was carried out in 109 patients with acute myocardial infarction.Among the 109 patients,21 developed nausea,83 developed vomiting one to three times and 5 developed projectile vomiting for 4-5 times.For these patients the nursing assessment was conducted,while proper psychological care,symptomatic nursing,psychosomatic relaxation,guidance for vomiting posture,vomiting nursing,balanced replenishment of fluid,etc.were carried out in order to ensure the accomplishment of percutaneous coronary intervention.Results After the employment of nursing measures,no recurrence of vomiting was seen in 21 patients,the percutaneous coronary intervention was uninterruptedly completed in 83 patients,and in five patients with severe vomiting the procedure was eventually accomplished.Conclusion The effective nursing care of nausea and vomiting plays an important auxiliary role in performing percutaneous coronary intervention for acute myocardial infarction.