摘要
目的探讨冠状动脉介入术（PCI）后常见并发症的护理干预。方法我科1998年12月～2003年12月40例PCI患者实施常规护理作为对照组，2004年1月～2005年11月38例在常规护理的基础上，对饮食、穿刺部位、卧位、排尿、拔管、抗凝等方面实施护理干预作为干预组，比较两组并发症发生情况。结果据统计学分析，两组穿刺局部损伤、迷走神经反射、排尿困难、舒适度差、失眠、焦虑等术后并发症比较，差异有显著性意义（P〈0．05）。结论术前鼓励进食，术后多饮水，拔除动脉鞘管后卧床6h、6～12h可向健侧卧位、12h后可下床排尿、自由活动，局麻后拔管，应用低分子肝素术后抗凝等护理干预，是减少并发症的关键。
Objective To explore the effect of nursing intervention on decreasing the post-operative complication of per cutaneous coronary intervention （PCI）. Methods 40 patients in the control group received routine nursing from Dec. 1998 to Sept. 2003 ,while 38 patients in the intervention group received the additional intervention on diet,puncture point, lying position,micturition,antithrombosis therapy, pipe-drawing and so on from Oct. 2003 to Nov. 2005. Clinical data of the two groups were analyzed retrospectively. Results There was a significant difference between the two groups in the incidence of the complications including injury of puncture point, vagus reflex, difficulty in micturition, comfortlessness, insomnia and anxiety（P〈0.05）. Conclusion Appropriate nursing intervention plays a important role in decreasing the incidence of post operative complication in patients undergoing PCI.
出处
《临床护理杂志》
2006年第2期17-19,共3页
Journal of Clinical Nursing
