目的:探讨康复指导联合桥式运动在主动脉内球囊反搏(Intraaortic balloon counterpulsation,IABP)患者术后中的护理效果及对舒适度的影响。方法:选取2016年5月至2018年2月IABP手术患者60例作为研究对象,按照随机数法分为对照组( n =30)...目的:探讨康复指导联合桥式运动在主动脉内球囊反搏(Intraaortic balloon counterpulsation,IABP)患者术后中的护理效果及对舒适度的影响。方法:选取2016年5月至2018年2月IABP手术患者60例作为研究对象,按照随机数法分为对照组( n =30)和观察组( n =30)。对照组给予常规护理,观察组采用康复指导联合桥式运动,15 d护理后对患者效果进行评估,比较两组心理波动、护理舒适度及满意度。结果:观察组护理后15 d SAS、SDS评分,均低于对照组( P <0.05);观察组护理后15 d生理、心理、精神、社会文化及环境舒适度评分,均高于对照组( P <0.05);观察组护理后护士操作技术、护理服务、基础护理及护理响应评分,均高于对照组( P <0.05)。结论:康复指导联合桥式运动用于IABP患者术后有助于缓解患者心理波动,提高患者术后舒适度及满意度,值得推广应用。展开更多
Background: Primary PCI (PPCI) has replaced thrombolysis as the treatment of choice for STEMI. The effect of this change on outcomes of patients referred for subsequent CABG is unknown. Methods: All STEMI patients hav...Background: Primary PCI (PPCI) has replaced thrombolysis as the treatment of choice for STEMI. The effect of this change on outcomes of patients referred for subsequent CABG is unknown. Methods: All STEMI patients having thrombolysis or PPCI between 2000 and 2010 were identified. Of these, patients subsequently referred for isolated first time CABG form the cohort for this study. Results: 83 of 2476 (3.4%) patients from the PPCI cohort (median follow-up [FU] 3 years [range 6 m - 7.8 y]) and 49 of 528 (9.2%) from the thrombolysis cohort (median FU 9 y [range 1.5 - 10 y] were referred for subsequent CABG. In this referred group, initial reperfusion success (as defined) was: PPCI = 86%, lysis = 84%, p = 0.69. Surgical waiters with prior PPCI had less post infarct angina (1.2% vs. 25%, p 0.01) and late re-infarction (6% vs. 20%, p = 0.034) prior to surgery. Timing of CABG was: 6 m (PPCI 82%, lysis 73%), 6 m-1 y (PPCI 8.4%, lysis: 9%), >1 y (PPCI 9.6%, lysis 18%).Other than an increased prevalence of diabetes in the thrombolysis group, there were no differences in demographic details or risk profile. There were no post-operative deaths, MIs or CVAs. There were no significant differences in post-op AF (28% vs. 22% p = 0.5), respiratory failure (8% vs. 18%, p = 0.08), renal failure (5% vs. 6%, p = 0.5) or re-openings (0% vs. 6%, p = 0.8). Mortality at 3 years was 2.4% in the PPCI cohort and 4% in the thrombolysis cohort. Overall mortality during follow-up for the PPCI group was 3.6% (n = 3) (median FU 3 years), and for the lysis group was 24.5% (n = 12) (median FU 9 years). Conclusions: In patients awaiting CABG after STEMI, PPCI reduces the risk of post-infarct angina and re-infarction prior to surgery, but early surgical results were equally favorable in both groups. Additional follow-up is needed in the PPCI cohort to determine whether there are any significantly different longer-term outcomes.展开更多
文摘目的:探讨康复指导联合桥式运动在主动脉内球囊反搏(Intraaortic balloon counterpulsation,IABP)患者术后中的护理效果及对舒适度的影响。方法:选取2016年5月至2018年2月IABP手术患者60例作为研究对象,按照随机数法分为对照组( n =30)和观察组( n =30)。对照组给予常规护理,观察组采用康复指导联合桥式运动,15 d护理后对患者效果进行评估,比较两组心理波动、护理舒适度及满意度。结果:观察组护理后15 d SAS、SDS评分,均低于对照组( P <0.05);观察组护理后15 d生理、心理、精神、社会文化及环境舒适度评分,均高于对照组( P <0.05);观察组护理后护士操作技术、护理服务、基础护理及护理响应评分,均高于对照组( P <0.05)。结论:康复指导联合桥式运动用于IABP患者术后有助于缓解患者心理波动,提高患者术后舒适度及满意度,值得推广应用。
文摘Background: Primary PCI (PPCI) has replaced thrombolysis as the treatment of choice for STEMI. The effect of this change on outcomes of patients referred for subsequent CABG is unknown. Methods: All STEMI patients having thrombolysis or PPCI between 2000 and 2010 were identified. Of these, patients subsequently referred for isolated first time CABG form the cohort for this study. Results: 83 of 2476 (3.4%) patients from the PPCI cohort (median follow-up [FU] 3 years [range 6 m - 7.8 y]) and 49 of 528 (9.2%) from the thrombolysis cohort (median FU 9 y [range 1.5 - 10 y] were referred for subsequent CABG. In this referred group, initial reperfusion success (as defined) was: PPCI = 86%, lysis = 84%, p = 0.69. Surgical waiters with prior PPCI had less post infarct angina (1.2% vs. 25%, p 0.01) and late re-infarction (6% vs. 20%, p = 0.034) prior to surgery. Timing of CABG was: 6 m (PPCI 82%, lysis 73%), 6 m-1 y (PPCI 8.4%, lysis: 9%), >1 y (PPCI 9.6%, lysis 18%).Other than an increased prevalence of diabetes in the thrombolysis group, there were no differences in demographic details or risk profile. There were no post-operative deaths, MIs or CVAs. There were no significant differences in post-op AF (28% vs. 22% p = 0.5), respiratory failure (8% vs. 18%, p = 0.08), renal failure (5% vs. 6%, p = 0.5) or re-openings (0% vs. 6%, p = 0.8). Mortality at 3 years was 2.4% in the PPCI cohort and 4% in the thrombolysis cohort. Overall mortality during follow-up for the PPCI group was 3.6% (n = 3) (median FU 3 years), and for the lysis group was 24.5% (n = 12) (median FU 9 years). Conclusions: In patients awaiting CABG after STEMI, PPCI reduces the risk of post-infarct angina and re-infarction prior to surgery, but early surgical results were equally favorable in both groups. Additional follow-up is needed in the PPCI cohort to determine whether there are any significantly different longer-term outcomes.
