摘要
目的探讨经皮冠状动脉介入治疗(PCI)术后急性心肌梗死(AMI)的相关危险因素及护理预防对策。方法随机选取2015年1月至2016年12月在我院就诊并接受PCI术的AMI患者180例作为研究对象,12个月后对其进行随访调查,按AMI是否再发将其分为对照组和观察组,收集参加研究者术后相关临床资料、收缩压水平(SBP)、Killip心功能分级、高血压史、术后服药情况、梗死后心绞痛是AMI患者成功植入支架后是否再发的影响因素。结果两组患者LVEF、LVDD、LVEDV、LVESV、植入支架数量、支架来源、梗死后心绞痛、服药情况、适当运动等因素均无统计学意义(P>0.05)。两组患者术前PT、a PTT、TT、Fbg水平比较无明显差异(P>0.05),术后PT、a PTT、TT指标均上调,Fbg下调(P<0.05)。SBP、心功能分级、高血压史、梗死后心绞痛回归系数均为正值且OR值>1,故均为影响再发的危险因素;术后服药情况是影响再发的有利因素。护理干预治疗对于患者焦虑情绪有缓解,更有利于治疗。结论影响AMI再发的危险因素为BP、心功能分级、高血压史、梗死后心绞痛,给予患者护理干预有利于患者身体的恢复,提高生活质量。
Objective To investigate the related risk factors of acute myocardial infarction（ AMI） after percutaneous coronary intervention（ PCI） on the preventive measures. Methods From January 2015 to December 2016 and underwent PCI in our hospital in patients with AMI in 180 cases as the research object,after 12 months of follow-up according to the AMI is again divided into control group and observation group,researchers collected in postoperative clinical data,the levels of systolic blood pressure（ SBP）,Killip cardiac functional grading,history of hypertension,postoperative medication,angina after myocardial infarction The pain is whether the recurrence of the success factors in patients with AMI after stent implantation. Results two groups of patients with LVEF,LVDD,LVEDV,LVESV,the number of implanted stents,stent,post infarction angina,medication,exercise and other factors were not statistically significant（ P〉0. 05）. Two groups of patients before PT. a PTT,TT,no significant difference was found between the level of Fbg（ P〉0. 05）,postoperative PT,a PTT,TT were increased,Fbg index decreased（ P〈0. 05）. SBP heart function classification,history of hypertension,post infarction angina back Regression coefficients were positive and the OR value of 1,so were the risk factors of postoperative recurrence; medication is favorable factors affecting recurrence. Nursing intervention treatment for patients with anxiety relief,more conducive to the treatment. Conclusion The risk factors of AMI and the BP heart function classification. The history of hypertension,angina after infarction,patients were given nursing intervention for patients with recovery of the body,improve the quality of life.
作者
王惠
陈艳芬
张晖
WANG Hui;CHEN Yan- fen;ZHANG Hui(Department of Cardiology, Meishan people＇s Hospital, Sichuan, Meishan, 610020, China)
出处
《血栓与止血学》
2018年第3期490-493,共4页
Chinese Journal of Thrombosis and Hemostasis
关键词
经皮冠状动脉介入
急性心肌梗死
护理预防
Percutaneous coronary intervention
Acute myocardial infarction
Nursing prevention
