探讨ST段抬高型心肌梗死急诊PCI的护理配合

Exploration of nursing cooperation of emergency PCI in ST-elevation myocardial infarction

目的探讨ST段抬高型心肌梗死(STEMI)急诊经皮冠状动脉介入治疗术(PCI)的护理措施及效果。方法 80例进行急诊PCI治疗的STEMI患者作为研究对象,按随机数字表法分成实验组和对照组,各40例。实验组实施针对性护理干预,对照组给予常规护理配合,评价两组护理效果及并发症发生情况。结果实验组平均住院时间、低血压及心律失常发生率分别为(11.26±1.24)d、5.0%(2/40)、5.0%(2/40),对照组分别为(16.49±2.54)d、20.0%(8/40)、22.5%(9/40);实验组平均住院时间短于对照组,低血压及心律失常发生率低于对照组,差异有统计学意义(P<0.05)。实验组显效23例,有效14例,无效3例,总有效率为92.5%,对照组显效13例,有效17例,无效10例,总有效率为75.0%;实验组总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论针对性护理干预对确保STEMI急诊PCI成功有着重要临床意义,有助于改善患者症状,提高满意度,提升术后生存质量。

Objective To explore the nursing measures and effect of emergency percutaneous coronaryintervention(PCI)in ST-elevation myocardial infarction(STEMI).Methods A total of80STEMI patientstreated with emergency PCI treatment as study subjects were divided by random number table method intoexperimental group and control group,with40cases in each group.The experimental group received targetednursing intervention,and the control group received conventional nursing cooperation.Evaluation were madeon nursing measures and effect in two groups.Results The experimental group had average hospital stay time,incidence of hypotension and incidence of arrhythmia respectively as(11.26±1.24)d,5.0%(2/40)and5.0%(2/40),which in the control group were respectively(16.49±2.54)d,20.0%(8/40)and22.5%(9/40).The experimental grouphad shorter average hospital stay time than the control group,and lower incidence of hypotension and arrhythmia thanthe control group.Their difference had statistical significance(P<0.05).The experimental group had23excellent cases,14effective cases and3ineffective cases,with total effective rate as92.5%,while the control group had13excellent cases,17effective cases and10ineffective cases,with total effective rate as75.0%.The experimentalgroup had significantly higher total effective rate than the control group,and the difference had statisticalsignificance(P<0.05).Conclusion Targeted nursing intervention has important clinical significance in ensuringsuccessful emergency PCI in STEMI,and it help to improve symptoms of patients,increase satisfaction degree,and improve quality of life after surgery.