酒石酸美托洛尔结合护理干预对老年急性心肌梗死患者术后心功能恢复的影响

Tartaric acid metoprolol combined with nursing intervention for elderly acute myocardial infarction patients of postoperative cardiac function recovery

目的研究酒石酸美托洛尔结合护理干预对老年急性心肌梗死患者经皮冠状动脉介入术(PCI)心功能恢复的影响。方法将2013年8月至2017年5月该院收治的老年急性心肌梗死患者98例分为对照组和治疗组,所有患者均接受PCI治疗。对照组给予常规方法治疗,治疗组在常规治疗的基础上加用酒石酸美托洛尔且配合积极的心理、认知和行为干预。比较两组患者治疗前后生存质量评分,比较两组患者治疗前后左心室舒张末期容积(LVEDV)、左心室射血分数(LVEF)的变化。结果 PCI术前两组患者生存质量评分差异无统计学意义(P>0.05)。PCI术后,与对照组比较,治疗组患者生存质量评分明显降低,差异有统计学意义(P<0.05)。两组患者PCI术后第1天、术后1周及术后2周LVEDV均低于治疗前,LVEF高于治疗前,差异有统计学意义(P<0.05),且两组之间的差异有统计学意义(P<0.05)。结论酒石酸美托洛尔结合护理干预可以促进老年急性心肌梗死患者术后心功能恢复,且可以改善患者生存质量得分,提高患者生存质量。

Objective To study the tartaric acid metoprolol combined with nursing intervention for elderly patients with acute myocardial infarction underwent percutaneous coronary intervention(PCI),the influence of cardiac function recovery.Methods 98 cases of elderly patients with acute myocardial infarction(AMI)in the hospital from August 2013 to May 2017 were collected,and all patients received PCI intervention treatment.The control group was given conventional treatment,the treatment group on the basis of conventional treatment combined with tartaric acid metoprolol and cooperate with the positive psychological,cognitive and behavioral intervention.The quality of life score,left ventricular end diastolic volume(LVEDV)and left ventricular ejection fraction(LVEF)were compared between the two groups before and after treatment.ResultsTwo groups of patients with preoperative anxiety and depression scores before PCI had no obvious difference(P>0.05).PCI postoperative treatment group patients with anxiety and depression scores significantly lower than the control group,the difference was statistically significant(P<0.05).LVEDV after treatment in both groups were lower than before the treatment,LVEF was higher than before the treatment,the difference was statistically significant(P<0.05);And the difference between the two group was statistically significant(P<0.05).Conclusion Tartrate metoprolol combined with nursing intervention can promote the elderly acute myocardial infarction patients postoperative cardiac function recovery,and can improve the quality of survival.