儿茶酚胺敏感性多形性室速患者的临床观察和护理

The clinical observation and nursing for patients with catecholaminergic polymorphicventricular tachycardia

目的探讨对儿茶酚胺敏感性多形性室速(CPVT)患者的临床观察和护理措施。方法对4例CPVT患者实施有效的心理护理和在检查中、治疗中的护理,严密监测病情变化,防止晕厥和心源性猝死的发生。结果行运动试验和/或肾上腺素激发试验过程中出现典型多形性室速及行基因检测后确诊的4例患者均予以服用负荷剂量β受体阻滞剂治疗,症状可控制,故未给予ICD植入,入院期间、出院后随访6个月均未出现晕厥或心源性猝死。结论严密监测患者病情变化、配合医生临床诊疗工作的同时,积极有效的护理也是治疗过程中提高患者生存质量和改善预后的不可缺少的重要环节。

Objective To explore the clinical observation and nursing for patients with cate- cholaminergic polymorphic ventricular tachycardia（CPVT）. Methods Effective psychological nurs- ing and nuring before examination and during the treatment were applied for 4 CPVT patients. Be- sides, close nursing observation of disease condition were performed to prevent the occurrence of syncope and sudden cardiac death （SCD） during the diagnosis and treatment of CPVT. Results The patients with typical polymorphic ventricular tachycardia provoked during the exercise test or the adrenaline proocation test and 4 patients diagnosed by gene detection as CPVT were all treated with ~ receptor blockers. It revealed that the diseases of patients were controlled and no syncope or SCD occourred during the hospitalization and follow - up visits in 6 months. Conclusion Close monitoring and effective nursing are important methods to prevent the occurrence of syncope or SCD. Moreover, positive and effective nusing is crucial component to improve the quality of life and to ameliorate prognosis for patients.