瓣膜置换同期冠状动脉搭桥术6例围手术期护理

Six Perioperative Care for Coronary Artery Bypass Grafting during the Same Period of Valve Replacement

目的探讨研究在瓣膜置换同期冠状动脉搭桥术的围手术期护理方案。方法将我院在2020年6月至2021年5月在我院实施瓣膜置换通气冠状动脉搭桥术的6例患者列为观察对象,对6例患者均在围手术期实施临床路径护理干预,观察患者的恢复情况以及预后情况。结果6例患者均成功完成手术,患瓣膜6个,搭桥13支。患者在术后心功能均有显著改善,临床症状完全消失,痊愈出院。6例患者的平均出院时间(17.45±3.15)d,离院时6 min步行试验成绩为(42.14±1.37)m,无肢体障碍,运动功能评价良好,且ADL评分100分2例,>75分4例。6例患者均对临床护理工作人员表示非常满意。结论在瓣膜置换同期冠状动脉搭桥术的围手术期护理中采用临床路径护理可显著提升患者的恢复速度,提升护理满意度,具有重要应用价值。

Objective To study the perioperative care scheme of coronary artery bypass grafting during the same period of valve replacement.Methods Six patients with valve replacement ventilation and coronary artery bypass grafting in our hospital from June 2020 to May 2021 were listed as observation objects.All six patients were subjected to clinical path care intervention in the perioperative period to observe their recovery and prognosis.Results All 6 patients successfully completed surgery,with 6 valves and 13 bypass passes.The patients had significantly improved cardiac function after surgery,clinical symptoms completely disappeared and recovered and discharged from hospital.Average time of discharge for 6 patients(17.45±3.15)days,6 min walking test score(42.14±1.37)m away from hospital,no limb impairment,good motor function evaluation,and the ADL score was 100 points(2 cases),>75 points(4 cases).All six patients expressed great satisfaction with the clinical care staff.Conclusion Using clinical path care in coronary artery bypass grafting during valve replacement can significantly improve the recovery speed and nursing satisfaction,which has important application value.