摘要
目的探讨循证护理在急性心肌梗死(AMI)早期尿激酶溶栓治疗中的应用效果。方法选择29例AMI患者,均为采用尿激酶溶栓治疗,并采用循证护理方法进行护理。结果 29例患者均好转出院,其中21例溶栓成功,再通率达72.41%,24例患者的胸痛迅速消失或缓解;发生再灌注心律失常26例,2例患者皮肤出现静脉穿刺部位瘀斑,未见牙龈出血、消化道出血及出血性脑卒中等并发症。结论在AMI溶栓治疗中应用循证护理方法,可有效地提高AMI患者的治愈率,降低并发症的发生率,提高患者的生活质量。
Objective To discuss the apply effect of the evidence-based nursing of the early intravenous thrombolytic with urokinase treatment for acute myocardial infarction. Methods Twenty nine patients with the AMI were chosen, and who were treated by the intravenous thrombolytic with urokinase, and then gave the evidence-based nursing for them. Results Twenty nine patients were all right and had left hospital, and 21 cases were thrombolysis successfully, the recanalization rate was 72.41%,the chest pain disappeared or relieved in 24 patients, 26 patients were happening to the reperfusion ar- rhythmia, 2 patients had the petechia with the skin when be punctured. No patient had the bleeding gums, gastrointestinal blooding or hemorrhagic apoplexy. Conclusion Using the evidence-based nursing in the acute myocardial infarction, and which is treated by early intravenous thrombolytic with urokinase, it can improve the cure rate of the acute myocardial in- farction, low the complication, improve the patient＇s quality of life.
出处
《中国当代医药》
2012年第19期150-151,153,共3页
China Modern Medicine
关键词
急性心肌梗死
溶栓治疗
尿激酶
循证护理
Acute myocardial infarction
Thrombolytic therapy
Urokinase
Evidence-based nursing
