系统护理对胺碘酮治疗心力衰竭合并室性心律失常患者的应用效果评价

Evaluation on Application Effect of Systematic Nursing on the Amiodarone in Treatment of Heart Failure Combined with Ventricular Arrhythmia

目的评价系统护理对胺碘酮治疗心力衰竭合并室性心律失常患者的应用效果。方法选取该院心内科2015年4月—2016年4月收治的72例经胺碘酮治疗心力衰竭并发室性心律失常患者,根据患者就诊时间,均分为观察组(n=36)、对照组(n=36)。观察组接受系统护理,对照组接受常规护理,对比两组护理效果。结果观察组总有效率为97.22%,对照组总有效率为80.55%,差异有统计学意义(P<0.05)。护理前,观察组和对照组每搏量SV、心功能指标FS、左心室射血分数LVEF、每分钟排血量CO指标数据对比显示为:[(60.2±21.5)m L、(20.2±8.6)%、(33.4±5.3)%、(4.8±2.1)L/min]vs[(61.5±22.1)m L、(22.3±8.8)%、(35.1±5.5)%、(4.9±2.2)L/min],差异无统计学意义(P>0.05)。护理后,两组SV、FS、LVEF、CO分别为:[(71.3±28.9)m L、(25.4±7.6)%、(44.2±8.9)%、(5.8±2.5)L/min]vs[(60.4±15.5)m L、(20.2±6.5)%、(39.7±7.7)%、(4.7±1.4)L/min],差异有统计学意义(P<0.05)。结论心力衰竭并发室性心律失常患者,经胺碘酮治疗、系统护理干预,临床效果较佳,且能改善患者的心动图情况。

Objective To evaluate the application effect of systematic nursing on the amiodarone in treatment of heart failure combined with ventricular arrhythmia. Methods 72 cases of patients with heart failure combined with ventricular arrhythmia treated by amiodarone in our hospital from April 2015 to April 2016 were selected and divided into two groups with 36 cases in each according to the diagnosis time, the observation group received the systematic nursing,while the control group received the routine nursing, and the nursing effect was compared between the two groups. Results The total effective rate in the observation group and in the control group was respectively 97.22% and 80.55%,the difference was statistically significant（P〈0.05）, and the differences in the stroke volume SV, cardiac function index FS, left ventricular ejection fraction LVEF, and minute output volume CO between the observation group and the control group were not obvious, [（60.2±21.5）m L,（20.2±8.6）%,（33.4±5.3）%,（4.8±2.1）L/min] vs [（61.5±22.1）m L,（22.3±8.8）%,（35.1±5.5）%,（4.9±2.2）L/min], the difference was not statistically significant（P〈0.05）, after nursing, the SV, FS, LVEF,CO of the two groups were respectively（71.3±28.9）m L,（25.4±7.6）%,（44.2±8.9）%,（5.8±2.5）L/min] vs [（60.4±15.5） m L,（20.2±6.5）%,（39.7 ±7.7）%,（4.7 ±1.4）L/min],the difference was statistically significant（P〈0.05）. Conclusion The amiodarone therapy and systematic nursing intervention in patients with heart failure combined with ventricular arrhythmia has a better clinical effect, which can improve the cardiogram of patients.