急性心肌梗死延迟PCI围术期护理研究

PCI in acute myocardial infarction delay Perioperative Nursing

目的探讨急性心肌梗死患者进行延迟冠状动脉支架植入治疗(delayed PCI)的有效护理方式。方法回顾性分析我院2011年1月—2012年1月间142例心肌梗死患者以及2010年142例患者的临床护理特点。2010年常规护理患者为对照组,2011年1月—2012年1月围手术前患者为观察组,对比两组PCI成功率以及术后并发症发生率。结果观察组PCI成功率为88.73%,显著高于对照组的74.65%,死亡率为0.70%,明显低于对照组的3.52%,差异有统计学意义(P<0.05)。观察组并发症总发生率为31.75%,显著低于对照组的56.60%,差异有统计学意义(P<0.05)。结论行延迟冠状动脉内支架植入治疗的患者因已经有一部分心肌坏死,更容易出现各种各样的并发症。适当的护理方法可以减少患者的痛苦及精神压力,减少并发症的发生,有利于病情的恢复。

Objective To investigate the delayed coronary stent implantation in patients with acute myocardial infarction（delayed PCI） of the effective nursing method. Methods Retrospective analysis of the clinical nursing characteristics of 2011.1-2012.1 in our hospital between2010 and 142 patients with myocardial infarction in 142patients. In 2010 the routine nursing care patients as control group, the 2011.1-2012.1 in the peri operationbefore as the observation group, compared two groups of PCI success rate and the incidence of postoperative complications. Results In the observation group, the success rate of PCI was 88.73%, signifi- candy higher than74165% in the control group, the mortality rate was 0.70%,significantly lower than the 3.52% in the control group, the difference was statistically significant （P〈 0.05）. The observation group the overall complication rate was 31.75%, significantly lower than 56.60% in the control group, the difference was statistically significant （P〈0.05）. Conclusion Delayed coronary stent implantation in the treatment of patients with has been a part ofmyocardial necrosis, more prone to a variety ofcomplications. Proper nursing method can reduce the pain of patients and mental pressure, reduce occurrence of complications, conducive to the recovery of the disease.