摘要
目的探讨综合护理应用于主动脉内球囊反搏术(IABP)治疗的老年急性心肌梗死(AMI)并发休克患者的效果。方法选取2017年1月~2019年6月我院收治的80例老年AMI并发休克患者,按照随机数字表法分为对照组和研究组,每组各40例。两组均采用IABP治疗,对照组给予常规护理,研究组给予综合护理。比较两组干预前后心率、舒张压、收缩压变化情况及感染、气囊破裂、消化道出血、穿刺部位出血等并发症发生情况。结果两组干预前心率、舒张压、收缩压比较,差异无统计学意义(P>0.05);干预后两组心率低于干预前,舒张压、收缩压高于干预前,差异均有统计学意义(P<0.05),且研究组心率低于对照组,舒张压、收缩压高于对照组,差异均有统计学意义(P<0.05)。研究组并发症总发生率(5.00%)低于对照组(27.50%),差异有统计学意义(P<0.05)。结论综合护理用于IABP治疗的老年AMI并发休克患者有利于稳定患者血流动力学,降低并发症发生风险,帮助患者顺利度过置管期。
Objective To explore the application effect of comprehensive nursing on elderly patients with acute myocardial infarction(AMI) complicated with shock treated by intra-aortic balloon pump(IABP). Methods Eighty elderly patients with AMI complicated by shock admitted to our hospital from January 2017 to June 2019 were selected and divided into control group and study group according to random number table method, 40 cases in each group. Both groups were treated with IABP, the control group were given routine nursing, and the study group were given comprehensive nursing. The changes of heart rate, diastolic blood pressure, systolic blood pressure and complications such as infection, balloon rupture, gastrointestinal bleeding and puncture site bleeding before and after intervention were compared between the two groups. Results There were no significant differences in heart rate, diastolic blood pressure and systolic blood pressure between the two groups before intervention(P>0.05). After intervention, the heart rate of the two groups was lower than before intervention, and the diastolic blood pressure and systolic blood pressure were higher than before intervention(P<0.05). The heart rate of the study group was lower than that of the control group, and the diastolic blood pressure and systolic blood pressure were higher than that of the control group, the differences were statistically significant(P<0.05). The incidence of complications in the study group(5.00%) was lower than that in the control group(27.50%), and the difference was statistically significant(P<0.05). Conclusion Comprehensive nursing applied to the elderly patients with AMI complicated with shock treated by IABP can help stabilize the hemodynamics, reduce the risk of complications and help the patients to pass the catheterization period smoothly.
作者
邓彩萍
吴灶连
梁莹莹
DENG Cai-ping;WU Zao-lian;LIANG Ying-ying(Department of Emergency,Zhanqing First People′s Hospital,Guangdong Province,Zhaoqing526060,China)
出处
《中国当代医药》
2020年第11期238-240,共3页
China Modern Medicine
关键词
急性心肌梗死
休克
主动脉内球囊反搏术
综合护理
血流动力学
Acute myocardial infarction
Shock
Intra-aortic balloon counterpulsation
Comprehensive nursing
Hemodynamics
