呼吸管理四阶梯供给模式在心脏介入治疗术并发心血管事件患者中的应用

Application of four-step supply mode of respiratory management in patients with cardiac intervention and cardiovascular events

目的探讨呼吸管理四阶梯供给模式在心脏介入治疗术并发心血管事件患者中的应用效果。方法选择2016年1—12月我院心脏介入诊疗术中出现急性心血管事件并接受呼吸支持患者45例做为对照组,选择2017年1—12月我院心脏介入诊疗术中出现急性心血管事件并接受呼吸支持患者45例做为试验组,对照组患者在出现急性心血管事件时,导管室护士遵照医师指示开展相应的呼吸道支持护理,试验组患者结合医师指示按照呼吸管理四阶梯模式开展呼吸支持护理活动,比较两组患者干预后的各观察指标。结果试验组患者干预后术中急性心血管事件及时控制率、手术完成率、手术医师对导管室护理配合满意率显著高于对照组(P <0. 05)。结论采用呼吸管理四阶梯供给模式对心脏介入治疗术中并发心血管事件患者施加干预,可显著提高该类患者术中心血管事件及时控制率与手术完成率,深受手术医师认可。

Objective To explore the application effect of four-step supply mode of respiratory management in patients with cardiac intervention and cardiovascular events. Methods To compare indexes after intervention, 45 cases of patients with acute cardiovascular events and receiving respiratory support during the cardiac interventional therapy in our hospital from January to December 2016 were sampled as the control group, 45 cases of patients with acute cardiovascular events and receiving respiratory support during the cardiac interventional therapy in our hospital from January to December 2017 were sampled as the study group. In the control group, in the event of an acute cardiovascular event, the catheter room nurse followed the physician＇s instructions to perform appropriate respiratory support care. Patients in the study group adopted respiratory support care activities following the four-step supply mode of respiratory management under the instructions of physicians. Results After intervention, the timely control rate of acute cardiovascular events, completion rate of surgery, and surgeon’s satisfaction with the care of the catheter room in the study group were significantly higher than those in the control group（ P ＜0.05）. Conclusion The application of four-step supply mode of respiratory management to intervene in patients with cardiac intervention and cardiovascular events during cardiac interventional therapy could significantly improve the timely control rate and the completion rate of intraoperative cardiovascular events in patients of the same or similar type, which has been highly recognized by the surgeon.