摘要
目的探讨急性冠状动脉综合征（acute coronary syndrome,ACS）经皮冠状动脉介入治疗术（percutaneous coronary intervention,PCI）后发生无复流情况及总结护理要点。方法 2012年1月~2014年2月对在本院住院的647例ACS患者施行PCI术,术中观察无复流患者发生情况,并与正常复流患者作对比,了解其术后并发症发生情况及住院时间,配合做好护理工作。结果 647例ACS患者中有64例发生无复流（9.9%）,共死亡9例（其中8例为无复流患者）,56例无复流患者经治疗与护理后康复出院,均于术后1个月后解除无复流。PCI发生无复流患者比正常复流患者住院天数长,死于严重并发症发生率高,两组比较,差异具有统计学意义（均P〈0.001）。结论对于ACS患者PCI发生无复流较正常复流并发症发生率高。护理方面应严密观察患者生命体征,确保静脉通道通畅,积极配合医生进行再灌注治疗,并做好并发症监护工作。
Objective To investigate the experience in nursing the patients with acute coronary syndrome（ACS） undergoing percutaneous coronary intervention（PCI） and coming out with no-reflow. Method Six hundred and forty-seven ACS patients undergoing PCI from January 2012 to February 2014 in the intubation room of our hospital were included in the study to compare the clinical data of those with no reflex with those with reflex in terms of complications, hospital stay and nursing manipulations.Results Among the 647 ACS patients, 64 had no reflow（9.9%） and 9 of them died including 8 with no reflow. Fifty-six patients with no reflow got recovered and discharged after treatment and nursing and the syndrome of no reflex cured one month after PCI. The hospital stay in the no-reflex group was significantly longer and the rate of severe complications was significantly higher than that of the reflex group, respectively（P〈 0.001）. Conclusion The nursing measures include monitoring the patients′ vital signs, keeping venous channels unobstructed, closely cooperating with the doctor and carefully monitoring the complications and giving intensive care to those patients with no-reflex are effective for the reduction of post-CPI complication rate and mortality.
出处
《现代临床护理》
2015年第3期39-42,共4页
Modern Clinical Nursing
