急诊高龄患者行经皮冠状动脉介入治疗术后的护理对策分析
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摘要
目的分析急诊高龄患者行经皮冠状动脉介入治疗术后并发症观察及护理对策。方法选取本院急诊收治的86例行经皮冠状动脉介入治疗的高龄患者作为研究对象,按照护理方式的不同,将其分成两组。一组采用综合护理措施,为研究组,一组采用常规护理措施,为常规组,比较两组患者的护理效果。结果研究组并发症发生率为4.65%(2例),低于常规组的18.60%(8例),两组数据比较,差异具有统计学意义(P <0.05)。结论急诊高龄患者行经皮冠状动脉介入治疗术采用综合护理措施可有效减少术后并发症。
Objective To analyze the postoperative complications and nursing strategies of percutaneous coronary intervention in elderly patients with emergency. Methods 86 cases of elderly patients who underwent percutaneous coronary intervention in our hospital were selected as the subjects of study. According to the different nursing methods, they were divided into two groups. One group used comprehensive nursing measures as the research group. One group was treated with routine nursing measures, and the other group was treated with routine nursing measures. The nursing effects of the two groups were compared. Results The incidence of complications in the study group was 4.65%(2 cases), which was lower than that of the conventional group(18.60%)(8 cases). There was a statistically significant difference between the two groups(P<0.05). Conclusion The use of comprehensive nursing measures for percutaneous coronary intervention in elderly patients with emergency treatment can effectively reduce postoperative complications.
Objective To analyze the postoperative complications and nursing strategies of percutaneous coronary intervention in elderly patients with emergency. Methods 86 cases of elderly patients who underwent percutaneous coronary intervention in our hospital were selected as the subjects of study. According to the different nursing methods, they were divided into two groups. One group used comprehensive nursing measures as the research group. One group was treated with routine nursing measures, and the other group was treated with routine nursing measures. The nursing effects of the two groups were compared. Results The incidence of complications in the study group was 4.65%(2 cases), which was lower than that of the conventional group(18.60%)(8 cases). There was a statistically significant difference between the two groups(P<0.05). Conclusion The use of comprehensive nursing measures for percutaneous coronary intervention in elderly patients with emergency treatment can effectively reduce postoperative complications.
引文
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[7]巫刚,宋海峰,孙德醒.非梗死相关动脉择期经皮冠状动脉介入治疗不同处理时机对ST段抬高型心肌梗死患者预后的影响[J].中华老年多器官疾病杂志,2017,16(11):841-845.
[8]黄莉,王选琦,吴晓鹏.急性冠状动脉综合征合并糖尿病患者经皮冠状动脉介入术后替格瑞洛与氯吡格雷抗血小板疗效及预后研究[J].中华老年多器官疾病杂志,2017,16(11):846-849.
[9]吴琼,程芮.血栓弹力图评价急性心肌梗死患者经皮冠状动脉介入术后阿司匹林抵抗及其影响因素[J].中华老年多器官疾病杂志,2016,15(6):443-446.
[10]倪岚,薛锦花,徐奇.上海市浦东新区某社区经皮冠状动脉介入术后患者治疗情况分析[J].中华全科医师杂志,2017,16(11):867-871.
[11]高德全,贾文芳,谢亚闯,等.心电图特征在经皮冠状动脉介入治疗急性前壁心肌梗死患者中的预测价值[J].中国急救医学,2017,37(5):439-442.
[12]王雅,杜占奎,王效增,等.年龄对急性ST段抬高型心肌梗死患者急诊行经皮冠状动脉介入治疗术后发生对比剂诱发的急性肾损伤的影响[J].中华老年多器官疾病杂志,2016,15(2):94-97.
[2]张泽锋,沙卫红,谭国瑜,等.华南地区经皮冠状动脉介入术后服用双重抗血小板药物患者上消化道出血的发生率、临床特征及危险因素分析[J].中华内科杂志,2016,55(6):445-450.
[3]吴克琴,董姣姣.弹力带抗阻训练对急性心肌梗死患者经皮冠状动脉介入术后对心功能的影响[J].中华老年医学杂志,2017,36(9):966-969.
[4]崔晓琼,李彤,周权,等.心肌肌钙蛋白Ⅰ水平与急诊经皮冠状动脉介入术后对比剂肾病风险的关系[J].中华老年医学杂志,2015,34(11):1227-1230.
[5]沈根,王春燕,叶红华,等.老年人经皮冠状动脉介入术后急性肾损伤与肾脏预后的相关性研究[J].中华老年医学杂志,2017,36(12):1353-1355.
[6]王霁翔,高静,任珉,等.早期保护性肺通气和主动脉内球囊反搏联合急诊经皮冠状动脉介入治疗急性心肌梗死合并心源性休克的疗效[J].中华老年医学杂志,2017,36(7):724-729.
[7]巫刚,宋海峰,孙德醒.非梗死相关动脉择期经皮冠状动脉介入治疗不同处理时机对ST段抬高型心肌梗死患者预后的影响[J].中华老年多器官疾病杂志,2017,16(11):841-845.
[8]黄莉,王选琦,吴晓鹏.急性冠状动脉综合征合并糖尿病患者经皮冠状动脉介入术后替格瑞洛与氯吡格雷抗血小板疗效及预后研究[J].中华老年多器官疾病杂志,2017,16(11):846-849.
[9]吴琼,程芮.血栓弹力图评价急性心肌梗死患者经皮冠状动脉介入术后阿司匹林抵抗及其影响因素[J].中华老年多器官疾病杂志,2016,15(6):443-446.
[10]倪岚,薛锦花,徐奇.上海市浦东新区某社区经皮冠状动脉介入术后患者治疗情况分析[J].中华全科医师杂志,2017,16(11):867-871.
[11]高德全,贾文芳,谢亚闯,等.心电图特征在经皮冠状动脉介入治疗急性前壁心肌梗死患者中的预测价值[J].中国急救医学,2017,37(5):439-442.
[12]王雅,杜占奎,王效增,等.年龄对急性ST段抬高型心肌梗死患者急诊行经皮冠状动脉介入治疗术后发生对比剂诱发的急性肾损伤的影响[J].中华老年多器官疾病杂志,2016,15(2):94-97.