针对性康复在同期行非体外不停跳冠状动脉旁路移植术与颈动脉内膜剥脱术患者中的应用

Application of targeted nursing intervention in patients undergoing synchronous carotid endarterectomy and coronary artery bypass grafting

目的:探讨针对性康复干预对冠心病合并颈动脉狭窄患者行同期冠状动脉旁路移植术+颈动脉内膜剥脱术后短期预后的影响。方法:选取北京安贞医院冠心病外科中心2018年2月至2021年5月连续收治的58例接受同期OPCABG+CEA的患者为研究对象,按照随机数表法分为两组对照组29例,观察组29例。对照组术后予以常规康复,观察组在对照组基础上予以针对性康复干预。观察术后脑梗死的发生率和术后住院时间。结果:两组术后急性脑梗死,对照组2例(6.9%),观察组未发生,但差异无统计学意义。对照组的中位术后住院时间为13d,最早术后第10d出院。而观察组中位术后住院时间为10d,最早术后第8天即出院,差异有统计学差意义。结论:针对性康复干预可改善可能改善冠心病合并颈动脉狭窄患者同期行OPCABG+CEA的短期预后,缩短术后住院时间。

Objective:To investigate the effect of targeted nursing intervention on the shortterm prognosis of patients with coronary heart disease complicated with carotid artery stenosis who underwent synchronous coronary artery bypass grafting and carotid endarterectomy.Methods:A total of 58 patients who received OPCABG+CEA during the same period from February 2018 to May 2021 in the Coronary Heart Disease Surgery Center of Beijing Anzhen Hospital were selected as the research objects,and divided into two groups according to the random number table method,29 cases in the control group.There were 29 cases in the observation group.The control group was given routine nursing after operation,and the observation group was given targeted nursing intervention on the basis of the control group.The incidence of postoperative cerebral infarction and postoperative hospital stay were observed.Results:There was no statistical difference in baseline data between the two groups.Postoperative acute cerebral infarction occurred in the two groups,2 cases(6.9%)in the control group,and none in the observation group,but there was no statistical difference.The median postoperative hospital stay in the control group was 13 days,and the earliest postoperative discharge was 10 days.In the observation group,the median postoperative hospital stay was 10 days,and the earliest postoperative discharge was on the 8th day.There was a statistically significant difference between the two.Conclusions:Targeted nursing intervention can improve the short-term prognosis of patients with coronary heart disease complicated with carotid artery stenosis who underwent OPCABG+CEA at the same time,and shorten the length of postoperative hospital stay.