摘要
目的分析急性ST段抬高型心肌梗死行经皮冠状动脉介入术(PCI)中无复流患者的护理干预。方法 选取2016年6月至2017年5月在我院行PCI术的急性ST段抬高型心肌梗死患者40例,且术中发生无复流,给予临床护理干预,观察护理效果。结果 与护理前相比,护理后患者的SAS评分及SDS评分均较低,差异有统计学意义(P<0.05);40例PCI术中无复流现象患者中1例死于反复恶性心律失常,1例死于心源性休克,病死率为5.00%(2/40)。其余38例患者经护理干预后均康复出院。结论 对行PCI术中无复流的急性ST段抬高型心肌梗死患者实施护理干预,不仅能改善心理状态,还可在一定程度上减少病死率。
Objective To analyze the nursing intervention in no-reflow during percutaneous coronary intervention(PCI)in patients with acute ST-segment elevation myocardial infarction(STEMI).Methods 40 cases of acute STEMI with PCI and no-reflow in the hospital from June 2016 to May 2017 were selected,and they were given clinical nursing intervention.The nursing effects were observed.Results Compared with before nursing,the SAS and SDS scores of patients were lower after nursing(P<0.05);There were 1 case of recurrent malignant arrhythmia and 1 case of cardiogenic shock in 40 cases of PCI with no-reflow,and the case fatality rate was 5.00%(2/40);And other 38 cases recovered and were discharged after nursing intervention.Conclusion Nursing intervention for acute STEMI patients during PCI with no-reflow can improve mental state and reduce the case fatality rate.
作者
张利娜
ZHANG Lina(Henan hongli hospital, Xinxiang 453400, China)
出处
《中国老年保健医学》
2019年第3期126-128,共3页
Chinese Journal of Geriatric Care
关键词
急性ST段抬高型心肌梗死
PCI术
复流
护理干预
acute ST-segment elevation myocardial infarction
PCI
reflow
nursing intervention
