摘要
目的总结急性ST段抬高型心肌梗死(STEMI)患者抗凝联合溶栓干预的护理配合体会。方法选取76例STEMI患者,随机分为对照组和观察组,各38例。2组患者入院后,均接受抗凝联合溶栓治疗,对照组给予常规护理,观察组给予综合护理干预。比较2组患者急诊停留时间、急诊-溶栓再通时间及住院时间,观察治疗期间2组患者并发症发生情况。结果观察组急诊停留时间、急诊-溶栓再通时间及住院时间均显著短于对照组(P<0.05);观察组治疗期间心力衰竭、心源性休克、皮下血肿发生率发生率显著低于对照组(P<0.05)。结论加强对STEMI患者抗凝联合溶栓干预的护理配合,有利于提高急诊救治效率,降低并发症发生风险,缩短患者康复进程。
Objective To summarize the nursing cooperation for patients with acute ST seg- ment elevation myocardial infarction （STEMI） by combined treatment of anticoagulation and thrombo- lytic therapy. Methods A total of 76 patients with STEMI were randomly divided into control group （ n = 38 ） and observation group （ n = 38 ）. All the patients were treated with anticoagulation and thrombolytic therapy, the control group was given routine nursing, and observation group was given comprehensive nursing intervention. Length of stay in emergency department, emergency-thrombolysis time and hospital stay were compared between two groups, and incidence of complications was ob- served. Results In the observation group, length of stay in emergency department, emergency-throm- bolysis time and hospital stay were significantly shorter than the control group （P 〈 0.05 ）. Incidence rates of heart failure, cardiac shock and subcutaneous hematoma in the observation group were signifi- cantly lower than those in the control group （ P 〈 0.05 ）. Conclusion Strengthening the nursing co- operation for STEMI patients with anticoagulation and thrombolysis intervention can increase the effi- ciency of emergency treatment, reduce the risk of complications and shorten the process of rehabilita- tion of patients.
出处
《中西医结合护理（中英文）》
2016年第3期113-115,共3页
Journal of Clinical Nursing in Practice
关键词
急性ST段抬高型心肌梗死
抗凝
溶栓
护理
acute ST segment elevation myocardial infarction
anticoagulation
thrombolys-is
nursing
