第二代冷冻球囊在心房颤动患者消融围手术期的护理

The nursing on patients with persistent atrial fibrillation during the perioperative period of thesecond-generation cryoballoon ablation

目的探讨在心房颤动患者中应用第二代冷冻球囊行消融治疗围手术期的护理。方法选择心房颤动患者38例，拟行心房颤动冷冻球囊消融术，严格执行术前护理评估，术中生命体征监护，术后护理评价，对病情进展变化作尽早干预。结果术中2例患者出现一过性心动过缓，2例患者出现一过性膈神经麻痹；术后1例患者出现一过性窦性心动过缓，3例患者出现股静脉血肿，5例患者出现恶心呕吐，经相应治疗后均病情缓解。结论对于第二代冷冻球囊在房颤患者消融上的应用，需要配合围手术期护理的全面评估和及时干预。

Objective To discuss the nursing on patients with persistent atrial fibrillation during the perioperative period of eryoballoon catheter ablation. Methods A total of 38 patients with persistent atrial fibrillation and who were to conduct cryoballoon catheter ablation were selected. They were given thoroughpreoperative nursing assessment, vital sign monitoring during operation, nursing evaluation postoperation. Results Two patients experienced period bradyeardia and two patients had phrenic nerve paralysis during operation. One patient had bradycardia, three patients had femoral vein hematoma, five patients had nausea and vomit which all these patients recover after treatment. Conclusions Performing cryoballoon catheter ablation on persistent atrial fibrillation patients required comprehensive nursingevaluation and intervention.