经皮冠脉介入术后常见并发症的防治和护理体会

Experience of postoperative complications evidence-based nursing in patients with coronary heart disease underwent percutaneous coronary intervention treatment

目的探讨经皮冠脉介入术(PCI)后常见并发症的预防措施及护理要点。方法我院2010年1月—2013年1月收治625例行PCI患者,术后发生并发症21例,回顾性分析其临床资料。结果血管迷走神经反射5例,穿刺部位出血、血肿形成8例,急性或亚急性支架内血栓形成1例,术后尿潴留7例,通过有针对性地加强健康宣教及临床护理指导,患者均痊愈出院。结论对PCI患者加强围术期健康宣教,术后严密观察、加强护理是降低术后并发症的关键。

Objective To probe into observation and nursing care of postoperative complications of patients accepting coronary artery intervention treatment.Methods A total of 625 patients with postoperatire complications and nursing care of them after percataneous coronary artery intervention therapy（PCI）from January 2010 to January 2013 were analyzed retrospectively.Results Totally 21 cases（3.3%）had developed different postoperative complications.Among them,5 cases were with vascular vagus reflex,8cases were with local exudation and subcutaneous hematoma,1 cases with acute or subacute stent thrombosis,7 cases with postoperative urinary retention,all patients were cured and discharged.Conclusion Close observation,nursing are the main points of nursing care of the postoperatire complications for treatment of PCI,strengthening about postoperative complications of PCI theory knowledge is the key of preventing postoperative complications.