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心肌梗死行冠脉介入治疗的急诊护理研究进展

Research progress in emergency nursing of myocardial infarction undergoing coronary intervention therapy
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摘要 心肌梗死的发病原因为冠状动脉供血急速减少,导致心肌发生严重且持久的缺血,对患者生命造成了严重威胁。心肌梗死的起病较急,病情发展相对较为迅速,病死率较高,患者的预后质量与抢救时间密切相关。相关研究认为,需要在心肌梗死发病12 h以内,给予患者冠状动脉介入治疗,能够有效控制患者病死率;行动脉支架形成术,可使ST段抬高心肌梗死得到有效治疗。冠脉介入治疗需要在救治时间窗内进行,再灌注时间直接影响了患者的预后,联合规范化治疗方案能够有效控制患者的病死率。但心肌梗死的病情变化较快,术后存在诸多并发症,因此要采取有效的护理措施,减轻患者的痛苦与并发症,保障手术的治疗效果。本文综述了心肌梗死患者采取冠脉介入治疗后给予急诊护理的重要价值,以此改善患者预后,控制并发症发生,降低患者病死率,缩短患者住院时间,助力患者早日康复。 The cause of myocardial infarction is the rapid decrease of coronary artery blood supply,which leads to severe and lasting myocardial ischemia and poses a serious threat to the lives of patients.The onset of myocardial infarction is relatively urgent,the disease development is relatively rapid,and the mortality rate is high.The prognosis quality of patients is closely related to the rescue time.Related studies suggest that coronary intervention therapy should be given to patients within 12 hours of the onset of myocardial infarction,which can effectively control the mortality of patients.Artery stenting can effectively treat ST segment elevation myocardial infarction.Coronary interventional therapy needs to be carried out within the treatment time window,and the reperfusion time directly affects the prognosis of patients.The combined standardized treatment scheme can effectively control the mortality of patients.However,the condition of myocardial infarction changes rapidly and there are many complications after operation.Therefore,effective nursing measures should be taken to reduce the pain and complications of patients and ensure the therapeutic effect of surgery.This article reviews the important value of emergency nursing after coronary intervention therapy in patients with myocardial infarction,so as to improve the prognosis of patients,control the occurrence of complications,reduce the mortality of patients,shorten the length of hospital stay,and help patients recover early.
作者 田艳超 TIAN Yan-chao(Emergency Department,Tianjin Baodi District Hospital of Traditional Chinese Medicine,Tianjin 301800,China)
出处 《中国城乡企业卫生》 2023年第5期47-49,共3页 Chinese Journal of Urban and Rural Enterprise Hygiene
关键词 心肌梗死 冠脉介入治疗 护理方法 Myocardial infarction Coronary interventional therapy Nursing methods
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