糖尿病并发心肌梗死患者PTCA围术期的护理

Perioperative nursing of PTCA in patients with diabetes mellitus complicating myocardial infarction

目的探讨糖尿病并发心肌梗死(MI)患者接受经皮冠状动脉腔内血管成形术(PTCA)的围术期护理。方法回顾性分析50例糖尿病并发MI并接受PTCA患者的临床资料,根据糖代谢分为血糖正常组20例和血糖异常组30例,比较两组患者的病死率、并发症发生率、住冠心病监护室(CCU)的时间。结果血糖异常组病死率、并发症发生率高于血糖正常组,住CCU时间长于血糖正常组,差异均有统计学意义(P<0.05)。结论糖尿病可作为独立的危险因素影响接受PTCA的MI患者的预后,因此,在护理工作中应该加强血糖检测。

Objective To explore the perioperative nursing of percutaneous transluminal coronary angioplasty（PTCA） in the patients with diabetes complicating myocardial infarction（MI）.Methods The clinical data in 50 cases of MI receiving PTCA were retrospectively analyzed.The patients were divided into two groups according to the glucose metabolism,the normal glucose group（n=20） and the abnormal glucose group（n=30）.The mortality,complication rate and stay time in CCU were compared between the two groups.Results The mortality rate and the complication rate in the abnormal glucose group were higher than those in the normal glucose group,and the stay time in CCU in the abnormal glucose group was longer than that in the normal glucose group,the differences between the two groups all showing statistical difference.Conclusion Diabetes can be take as an independent risk factor affecting the prognosis of MI patients receiving PTCA.Blood glucose monitoring should be strengthened during nursing works.