经皮冠状动脉介入手术术后采取精细化水化管理方案的临床效果

Clinical Effect of Refined Hydration Management Plan after Percutaneous Coronary Intervention

目的:总结和分析经皮冠状动脉介入手术(percutaneous coronary intervention,PCI)术后患者采取精细化水化管理的临床效果。方法:回顾性分析2020年5月-2021年5月中山市人民医院收治的84例PCI术后患者的临床资料,根据治疗方法的不同分为两组,各42例。常规管理组采取常规水化,而精细管理组则采取精细化水化管理。对比两组的临床疗效,主要评价标准包括肾功能评价指标、治疗满意度、负面情绪评价、生活质量评分。结果:精细管理组的满意度为95.2%(40/42),明显高于常规管理组的73.8%(31/42)(P<0.05)。治疗前两组的负面情绪评分比较,差异无统计学意义(P>0.05);治疗后,精细管理组的HAMA、HAMD评分明显低于常规管理组,差异有统计学意义(P<0.05)。治疗后精细管理组的心理功能、躯体功能、社会关系、自理能力指标评分均高于常规管理组,差异有统计学意义(P<0.05)。术后2 d精细管理组的肾功能指标明显优于常规管理组,差异有统计学意义(P<0.05),且术后5 d精细管理组的β_(2)-微球蛋白水平低于常规管理组,差异有统计学意义(P<0.05)。结论:PCI术后患者采取精细化水化管理后,各项相关评价指标较常规管理组明显改善,可以有效改善患者的消极情绪,提升生活质量,适合在临床进一步研究。

Objective:To summarize and analyze the clinical effect of refined hydration management in patients after percutaneous coronary intervention(PCI).Method:The clinical data of 84 patients after PCI who were admitted to Zhongshan People’s Hospital from May 2020 to May 2021 were selected as the research objects,and divided into two groups according to different treatment methods,42 cases in each group.The routine management group adopted routine hydration,while the fine management group adopted refined hydration management.The clinical efficacy of the two groups was compared,and the main evaluation criteria included renal function evaluation indexes,treatment satisfaction,negative emotion evaluation,and quality of life score.Result:The satisfaction rate in the fine management group was 95.2%(40/42),which was significantly higher than 73.8%(31/42)in the routine management group(P<0.05).Before treatment,there were no significant differences in negative emotion scores between the two groups(P>0.05).After treatment,the HAMA,HAMD scores in the fine management group were significantly lower than those in the routine management group,and the differences were statistically significant(P<0.05).After treatment,the scores of psychological function,physical function,social relationship,self-care ability in the fine management group were higher than those in the routine management group,and the differences were statistically significant(P<0.05).Two days after operation,the renal function indexes in the fine management group were significantly better than those in the routine management group,and the differences were statistically significant(P<0.05).And on the 5 days after operation,the level of β_(2)-microglobulin in the fine management group was lower than that in the routine management group,the difference was statistically significant(P<0.05).Conclusion:After PCI,patients were treated with refined hydration management,the relevant evaluation indicators of the patients were significantly improved compared with those in the routine management group,which could effectively improve the patients’negative emotions and improve their quality of life,which is suitable for further clinical research.