非体外循环下冠状动脉搭桥术围手术期护理

Perioperative nursing of patients undergoing off-pump coronary artery bypass grafting

目的探讨非体外循环下冠状动脉搭桥术围手术期护理方法。方法对50例非体外循环下行冠状动脉搭桥患者,术前加强心理护理、控制血压、合理氧疗、呼吸功能训练、备选血管的护理等措施,术后加强患者心血管系统和呼吸系统的监测、血管活性药物应用、引流管护理、血糖监测、维持电解质平衡等措施。结果 50例患者中切口感染6例,并发快速型房颤5例,经药物治疗好转。除2例死亡外,其余患者均痊愈出院,无护理并发症。结论冠状动脉搭桥术风险大,细心、细致、周到的护理是保证手术成功的关键。

Objective To summarize the experience of nursing patients undergoing off-pump coronary artery bypass grafting.Methods Fifity patients undergoing off-pump coronary artery bypass grafting were nursed by preoperative measures including metal nursing, blood pressure management, oxygen therapy, training of respiratory function, nursing of prepared bloods and postoperative ones including monitoring of cardiovascular and respiratory systems, medication of vasoactive agents, nursing of drainage tubes, monitoring of blood sugar and sustaining of electrolyte balance.Results Among the 50 cases, 6 had infections of incisional wound and 5 had the complication of rapid atrial fibrillation, all improved after medication. All other patients were cured and discharged except two deaths. No nursing-related complications occurred.Conclusion The off-pump coronary artery bypass grafting is highly risky and perioperative delicate nursing is critical for the success of the operation.