摘要
目的探讨双心室再同步化起搏治疗充血性心力衰竭患者的疗效及护理。方法比较63例充血性心力衰竭患者术前及行双心室再同步化起搏治疗术后的心功能NYHA分级、心电图QRs时限、左心室射血分数LVEF以及运动耐量6min步行距离，并对患者的护理措施进行总结。结果患者治疗后6个月NYHA从术前（3．40±0．50）级改善为术后（2．30±0．60）级，QRS时限从（144．68±16．40）1]ms降至（100．02±14．76）ms，LVEF（％）从（33．18±5．60）提高至（41．8±7．45），6min步行距离从（305．40±30．30）m提高至（406．20±70．50）m，差异均有统计学意义（t=11．18，4．562，6．728，10．426；P〈0．01）；术后跟踪随访3—24个月，无一例死亡。结论双心室再同步化起搏是治疗充血性心力衰竭患者的一种有效治疗方法，能明显改善患者心脏功能及生活质量。做好术前心理护理、术中心电监测、术后观察和预防并发症的发生以及重视出院后跟踪随访等都是取得较佳疗效的重要保证。
Objective To explore the effects and nursing of biventricular resynchronization therapy on the treatment for patients with congestive heart failure. Methods NYHA grade of heart function , ORS duration of electrocardiogram , left ventricular ejection fraction （ LVEF）, exercise tolerance of walking distance in 6 min were compared among 63 patients with congestive heart failure before and after they received biventricular resynchronization therapy. And the nursing measures for patients were summarized. Results Six months later after patients received such therapy , NYHA grade from （3.40 ± 0.50） that of preoperation improved to（ 2.30 ± 0.60 ）, ORS duration from preoperation （ 144.68 ± 16.40 ） ms reduced to （ 100.02 ± 14.76 ） ms, LVEF （ % ） from （ 33.18 ± 5.60 ） increased to （41.08 ± 7.45 ） ,walking distance in 6 min from （ 305.40 ± 30.30） m improved to （406.20 ±70.50）m, differences were statistically significant （t = 11.18,4. 562, 6. 728,10. 426;P 〈 0. 01 ）. There was no patient died during 3 months - 24 months postoperation follow up. Conclusions Biventricular resynchronization therapy is one of effective treatments for patients with congestive heart failure , which can obviously improve heart function and life quality of patients. At the same time , it is important to ensure psychology nursing before operation, electrocardingraphy during operation, observation after operation, complication prevention, follow up and so on to be done very well.
出处
《中华现代护理杂志》
2011年第36期4439-4442,共4页
Chinese Journal of Modern Nursing
基金
基金项目：2009年江苏省徐州市科技计划项目（XM09B117）
