预防PTCA术后迷走反射发生措施的研究

Research on Prevention Measure Against Vagal Reflex Occurrence after PTCA

目的 探讨经皮冠状动脉腔内血管成形术 (PTCA)术后迷走反射发生的预防措施。方法 针对迷走反射发生的原因 ,对 75例PTCA病人采取预防低血容量、控制空腔脏器过度回缩、调整患者精神状态等措施。观察迷走反射发生率 ,并与 75例按一般常规护理的对照组进行对比。结果 干预组迷走反射发生率为 2 6 1% ;对照组迷走反射发生率为 2 8%。结论 对于PTCA患者采取预防低血容量、控制空腔脏器过度回缩、调整精神状态等措施 ,对降低迷走反射发生率有显著效果。

Objective To investigate the preventive measurement of vagal reflex occurrence on patients with percutaneous transluminal coronary angioplasty (PTCA).Methods On the reason of vagal reflex occurrence,to 75 patients with PTCA adopt the measurement to prevent hypovolemia,control the excessive rebound of cavity viscera,adjust the patients mental state,and so on.Then to observe the level of patients with vagal reflex occurrence,and compare with the control group of 75 patients under common care.Results The prevent group level of patients with vagal reflex occurrence is 2.61%;the control group is 28%.Conclusion To patients with PTCA adopt the measurement to prevent hypovolemia,control the excessive rebound of cavity viscera,adjust the patients mental state,and so on.The effect to decrease the level of vagal reflex occurrence is great.