循证护理在急性心肌梗死患者PCI术后服用他汀类药物过程中的应用效果

Application Value of Evidence-based Nursing in Statin Management of PCI Patients After Interventional Surgery

目的:探讨循证护理在急性心肌梗死患者PCI术后服用他汀类药物过程中的应用效果。方法:以随机抽签法将2019年10月—2021年11月在我院行PCI术的60例急性心肌梗死患者作为研究对象,按照随机数字表法分为对照组和观察组,每组30例。对照组和观察组分别给予常规护理和循证护理。比较两组术前和术后3个月血脂(TC、TG、LDL-C、HDL-C)、炎症反应(CRP、PCT)水平及并发症发生率。结果:观察组TC、TG、LDL-C水平低于对照组,HDL-C水平高于对照组(P<0.05);观察组CRP、PCT水平低于对照组(P<0.05);观察组术后并发症发生率为6.66%,低于对照组的26.66%(P<0.05)。结论:将循证护理应用于急性心肌梗死患者PCI术后他汀类药物管理当中,有利于改善患者的血脂水平,缓解机体炎症反应,同时在降低术后并发症发生率方面具有积极意义。

Objective: To explore the application value of evidence-based nursing in statin management for patients with AMI after interventional surgery. Methods: A total of 60 AMI patients who underwent PCI in our hospital from October 2019 to November 2021 were selected as the research objects by random drawing. According to the random number table method, they were divided into the control group and the observation group, with 30 cases in each group. The control group and the observation group were given routine nursing and evidence-based nursing respectively. The levels of blood lipids(TC, TG, LDL-C, HDL-C), inflammatory reactions(CRP, PCT) and the incidence of complications were compared between the two groups before operation and 3 months after operation. Results: The levels of TC, TG and LDL-C in the observation group were lower than those in the control group, and the levels of HDL-C in the observation group were higher than those in the control group(P<0.05). The levels of CRP and PCT in the observation group were lower than those in the control group(P<0.05). The incidence of postoperative complications in the observation group was 6.66%, which was lower than 26.66% in the control group(P<0.05). Conclusion: The application of evidence-based nursing in the statin management of AMI patients after PCI is conducive to improving the blood lipid level of patients, alleviating the body’s inflammatory response, and has positive significance in reducing the incidence of postoperative complications.