中国卫生产业
中國衛生產業
중국위생산업
CHINA HEALTH INDUSTRY
2014年
17期
23-24,27
,共3页
高血压性心脏病%心房颤动%全面护理干预
高血壓性心髒病%心房顫動%全麵護理榦預
고혈압성심장병%심방전동%전면호리간예
Hypertensive heart disease%Atrial fibrillation%Comprehensive nursing intervention
目的：探讨高血压性心脏病伴心房颤动患者采用全面护理干预的临床效果和心电图影响。方法选择我院就诊的80例高血压性心脏病伴心房颤动患者为观察对象，随机将其分为对照组和实验组，对照组患者接受常规治疗和护理，实验组患者接受全面护理干预，对比分析两组患者临床效果和心电图检查结果。结果实验组患者经过系统的临床治疗和护理干预，患者心房颤动症状均显著改善，仅1例患者发生心力衰竭症状，2例患者发生晕厥症状，无一例患者发生心律失常症状，且所有发生并发症的患者经相应治疗后得到有效控制；对照组患者中，3例发生心力衰竭症状，6例患者发生晕厥症状，1例患者出现心律失常症状，两组观察对象临床护理效果对比具有明显的统计学差异（P<0.05）。同时，实验组观察对象室间隔/左室后壁、左室舒张末期内径、E/A和左室内径等指标均明显优于对照组（P<0.05）。结论高血压性心脏病伴心房颤动患者在常规治疗措施基础上，接受全面护理干预，有助于深化患者对于疾病相关知识的认识，巩固临床治疗的效果，促进患者心电图检查指标的及时恢复，因此，应在积极控制疾病相关危险因素的基础上，采取系统有效的护理干预措施。
目的：探討高血壓性心髒病伴心房顫動患者採用全麵護理榦預的臨床效果和心電圖影響。方法選擇我院就診的80例高血壓性心髒病伴心房顫動患者為觀察對象，隨機將其分為對照組和實驗組，對照組患者接受常規治療和護理，實驗組患者接受全麵護理榦預，對比分析兩組患者臨床效果和心電圖檢查結果。結果實驗組患者經過繫統的臨床治療和護理榦預，患者心房顫動癥狀均顯著改善，僅1例患者髮生心力衰竭癥狀，2例患者髮生暈厥癥狀，無一例患者髮生心律失常癥狀，且所有髮生併髮癥的患者經相應治療後得到有效控製；對照組患者中，3例髮生心力衰竭癥狀，6例患者髮生暈厥癥狀，1例患者齣現心律失常癥狀，兩組觀察對象臨床護理效果對比具有明顯的統計學差異（P<0.05）。同時，實驗組觀察對象室間隔/左室後壁、左室舒張末期內徑、E/A和左室內徑等指標均明顯優于對照組（P<0.05）。結論高血壓性心髒病伴心房顫動患者在常規治療措施基礎上，接受全麵護理榦預，有助于深化患者對于疾病相關知識的認識，鞏固臨床治療的效果，促進患者心電圖檢查指標的及時恢複，因此，應在積極控製疾病相關危險因素的基礎上，採取繫統有效的護理榦預措施。
목적：탐토고혈압성심장병반심방전동환자채용전면호리간예적림상효과화심전도영향。방법선택아원취진적80례고혈압성심장병반심방전동환자위관찰대상，수궤장기분위대조조화실험조，대조조환자접수상규치료화호리，실험조환자접수전면호리간예，대비분석량조환자림상효과화심전도검사결과。결과실험조환자경과계통적림상치료화호리간예，환자심방전동증상균현저개선，부1례환자발생심력쇠갈증상，2례환자발생훈궐증상，무일례환자발생심률실상증상，차소유발생병발증적환자경상응치료후득도유효공제；대조조환자중，3례발생심력쇠갈증상，6례환자발생훈궐증상，1례환자출현심률실상증상，량조관찰대상림상호리효과대비구유명현적통계학차이（P<0.05）。동시，실험조관찰대상실간격/좌실후벽、좌실서장말기내경、E/A화좌실내경등지표균명현우우대조조（P<0.05）。결론고혈압성심장병반심방전동환자재상규치료조시기출상，접수전면호리간예，유조우심화환자대우질병상관지식적인식，공고림상치료적효과，촉진환자심전도검사지표적급시회복，인차，응재적겁공제질병상관위험인소적기출상，채취계통유효적호리간예조시。
Objective To investigate hypertensive heart disease with atrial fibrillation electrocardiogram in patients with clinical effect and influence of comprehensive nursing intervention. Methods 80 cases of hypertensive heart disease with atrial fibrillation patients were enrolled, and randomly divided into the control group and the experimental group, the control group with routine treatment and nursing to accept, accept the comprehensive nursing intervention for patients in the experimental group, of two groups of patients with clinical effect and ECG examination results. Results Patients in the experimental group after the treatment and nursing intervention system, symptoms improved significantly in patients with atrial fibrillation, only 1 cases occurred in pa-tients with heart failure symptoms, 2 cases of syncope in patients with symptoms, no patients with arrhythmia symptoms, and all complications occurred in patients after the treatment has been effectively controlled; the control group patients, 3 cases of heart failure symptoms, 6 cases of syncope in patients with symptoms, 1 patients experienced arrhythmia symptoms, compared with two groups of clinical nursing effect is statistically significant (P<0.05). At the same time, the experimental group observed object ven-tricular septal and left ventricular posterior wall, left ventricular end diastolic diameter, E/A and left ventricular diameterwere su-perior to the control group (P<0.05). Conclusion Hypertensive heart disease with atrial fibrillation patients in the conventional treatment based on the comprehensive nursing intervention measures, acceptance, understanding helps deepen the patients for dis-eases related knowledge, consolidate the clinical treatment effect, promote the ECG indexes in patients with timely recovery, there-fore, should be based on the active control of the risk factors of the disease, take care effective intervention measures system.
