PCI治疗急性冠脉综合征104例术后护理

Postoperative Care for 104 Cases of Acute Coronary Syndrome Treated with PCI

目的:探讨急性冠脉综合征(ACS)患者急诊冠状动脉介入治疗(PCI)术后护理方法。方法:将拟行急诊PCI术的172例ACS患者随机分观察组104例、对照组68例。2组均给予PCI治疗,对照组给予PCI常规护理,观察组给予心理护理、术后护理、用药护理、并发症护理等护理措施。观察2组护理后无复流和心脏不良事件的发生率。结果:无复流率观察组为5.8%,对照组为10.3%,2组比较差异显著(P<0.05)。术后24小时心脏不良事件发生率观察组为4.8%,对照组为10.3%,2组相比差异显著(P<0.05)。术后30天心脏不良事件发生率观察组为13.5%%,对照组为22.1%,2组相比差异显著(P<0.05)。结论:心理护理、术后护理、用药护理、并发症护理等护理措施,可减少和改善PCI术梗死相关动脉无复流现象,降低术后心脏不良事件的发生率。

Objective： To discuss postoperative care for the patients suffering from acute coronary syndrome （ACS） treated with percutaneous coronary intervention （PCI）. Method： All 172 patients were randomized into 104 cases in the observation group and 68 cases in the control group. Both groups were administered with PCI, the control group were given with routine care of PCI and the observation group nursing measures including psychological care, postoperative care, medicated care and complication care. The incidences of cardiac adverse event and no reflow after care were observed. Result： No reflow incidence of the observation group was 5.8%, lower than 10.3% of the control group with significant difference （P〈0.05）. The incidence of cardiac adverse events within 24 hours after surgery in the observation group was 4.8%, lower than 10.3% of the control group with significant difference （P〈0.05）. The incidence of cardiac adverse events within 30 days after surgery of both groups were 13.5% and 22.1%, the difference was significant （P〈0.05）. Conclusion： Nursing measures including psychological care, postoperative care, medicated care and complication care could reduce and improve no reflow of associated arteries after PCI, which could also lower the incidence of cardiac event after surgery.