卵圆孔未闭患者经胸超声心动图右心声学造影中护理工作要点分析

Analysis of the nursing key points in transthoracic echocardiography and right heart contrast echocardiography for patients with patent foramen ovale

为探讨卵圆孔未闭(PFO)患者行经胸超声右心声学造影(cTTE)时的临床护理工作要点与意义,本研究选择临床疑为PFO并在我科进行cTTE检查的331例患者为对象,检查前进行心理疏导,指导Valsalva动作或连续剧烈咳嗽训练;检查中及检查后密切观察患者有无不适反应。结果显示,331例中无一例因紧张、恐惧而放弃检查;325例顺利完成平静呼吸及Valsalva动作或连续剧烈咳嗽时cTTE检查,6例因无法完成符合检查要求的连续咳嗽动作而仅行平静呼吸状态cTTE检查。2例于检查结束后出现短暂心慌、胸闷、气短不适,未行特殊处理自行缓解。结果表明,重视心理护理、加强Valsalva动作或连续剧烈咳嗽训练及密切观察患者反应,对顺利完成cTTE检查具有重要意义。

To explore the key points and importance of clinical nursing during transthoracic echocardiography and right heart contrast echocardiography(cTTE)for patients with patent foramen ovale(PFO).Three hundred and thirty-one patients with suspected PFO were examined by cTTE in our department.Before the examination,psychological counseling was conducted to guide Valsalva movement and provide continuous severe cough training. During and after the examination,discomfort reaction of patients was observed.None of 331 patients gave up the examination because of nervousness or fear,325 patients successfully completed the cTTE examination when breathing quietly,doing Valsalva movement and coughing continuously and severely,6 patients underwent the cTTE examination only at quiet breathing condition because they could not complete the required continuous cough movement of the examination.After the examination,two patients suffered from temporary panic,chest tightness and shortness of breath,and recovered without any special treatment.To complete cTTE examination smoothly,it is important to pay attention to psychological nursing,strengthening Valsalva movement and continuous severe cough training,and closely observing patient’s reaction.