摘要
目的:探讨围术期护理在冠心病患者介入治疗中的应用及临床效果。方法:对66例冠心病行介入治疗患者给予精心围术期护理,包括术前护理(心理护理、预防心肌梗死、术前准备)和术后护理(密切观察病情、心功能监测、健康宣教)。结果:本组66例均手术成功,住院7~15 d痊愈出院。术后发生严重心律失常5例,低血压2例,经对症处理均好转出院。随访1年,超声心动图未发现复发,心功能恢复至Ⅱ级以上。结论:围术期护理可提高冠心病患者介入治疗成功率、减少并发症发生。
Objective:To discuss the application of perioperative nursing care in the interventional therapy of patients with coronary heart disease (CHD) and its clinical effect. Methods :66 patients who received interventional therapy were given careful perioperative nurs- ing care, including preoperative nursing care ( psychological care, prevention of myocardial infarction, preoperative preparation } and postop- erative nursing care (close observation of patient's condition, cardiac function monitoring and health education ). Results:All operations were successful. The patients were cured and discharged from hospital after hospitalization for 7 to 15 days. The postoperative severe ar- rhythmia occurred in 5 patients,hypotension in 2 patients and the patients got improvement after symptomatic treatment. According to the follow - up for one year, ECG diagnosis showed no recurrence in these patients and the restoration of cardiac function reached or was above grade II. Conclusion:The perioperative nursing care can improve the success rate and decrease the complications in the interventional ther- apy of patients with coronary heart disease.
关键词
冠心病
介入
心律失常
围术期护理
Coronary heart disease
Interventional therapy
Arrhythmia
Perioperative nursing care