预见性护理在冠心病心绞痛中的应用效果及对患者心绞痛症状、心电图、血脂的影响

Application effect of predictive nursing in angina pectoris of coronary heart disease and its influences on angina pectoris symptom,electrocardiogram and blood lipid

目的探究预见性护理在冠心病心绞痛中的应用效果及对患者心绞痛症状、心电图、血脂的影响。方法选择2020年1月至2021年1月我院心内科收治的60例冠心病心绞痛患者作为观察对象,依据单双数将其随机分为常规组和观察组,各30例。常规组采取心内科常规护理,观察组采取预见性护理。比较两组患者的护理效果。结果干预后,两组的心绞痛发作频率明显降低,心绞痛持续时间明显缩短,硝酸甘油使用剂量明显减少,且观察组优于常规组(P<0.05)。干预后,两组的T波低平导联数、ST段下移导联数及T波倒置导联数均明显减少,且观察组少于常规组(P<0.05)。干预后,两组的TC、TG、LDL-C水平均显著降低,HDL-C水平显著升高,且观察组优于常规组(P<0.05)。观察组的心血管不良事件总发生率明显低于常规组(P<0.05)。结论预见性护理应用于冠心病心绞痛中,能够显著减轻患者的心绞痛症状,减少硝酸甘油使用剂量,改善心电图及血脂水平,降低心血管不良事件发生率,值得推广。

Objective To explore the application effect of predictive nursing in angina pectoris of coronary heart disease and its influences on angina pectoris symptom,electrocardiogram and blood lipid.Methods A total of 60 patients with angina pectoris of coronary heart disease admitted in the cardiology department of our hospital from January 2020 to January 2021 were selected as the observation objects and randomly divided into routine group and observation group according to odd and even numbers,with 30 cases in each group.The routine group took routine nursing of cardiology department,and the observation group took predictive nursing.The nursing effect of the two groups was compared.Results After intervention,the frequency of angina pectoris significantly reduced in both groups,the duration of angina pectoris significantly shortened,the dosage of nitroglycerin significantly reduced,and those in the observation group were better than the routine group(P<0.05).After intervention,the numbers of lowering of T-wave leads,ST segment depression leads and T wave inversion leads in both groups significantly decreased,and those in the observation group were less than the routine group(P<0.05).After intervention,the levels of TC,TG and LDL-C in both groups significantly decreased,while HDL-C level significantly increased,and those in the observation group were better than the routine group(P<0.05).The total incidence of cardiovascular adverse events in the observation group was significantly lower than that in the routine group(P<0.05).Conclusion Predictive nursing applied in angina pectoris of coronary heart disease can significantly reduce angina pectoris symptoms and nitroglycerin dosage,improve electrocardiogram and blood lipid level,reduce the incidence of cardiovascular adverse events of patients,which is worthy of promotion.