中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2010年
13期
19-21
,共3页
王敏珠%戴红英%黄风莲%麦玉妹
王敏珠%戴紅英%黃風蓮%麥玉妹
왕민주%대홍영%황풍련%맥옥매
心脏标志物%监测%急性冠状动脉综合征%作用
心髒標誌物%鑑測%急性冠狀動脈綜閤徵%作用
심장표지물%감측%급성관상동맥종합정%작용
Cardiac marker%Monitoring%Acute coronary syndrome%Function
目的 探讨心脏标志物的临床变化,及其指导护理急性冠状动脉综合征(ACS)患者的作用效果.方法 将心血管内科和CCU的ACS患者100例随机分为观察组和对照组各50例.对照组接受常规护理,观察组在常规护理组的基础上结合心脏标志物的阳性结果,对患者进行干预.比较2组患者B型钠尿肽、肌红蛋白、肌酸激酶同工酶、心肌钙蛋白I、心电图正常、心力衰竭、心源性休克等指标的变化情况.并比较2组患者及家属对护理人员的评价.结果 B型钠尿肽、肌红蛋白、肌酸激酶同工酶、心肌钙蛋白I、心电图正常、心力衰竭、心源性休克等指标比较观察组显著优于对照组,观察组患者及家属对护理人员有较满意的评价.结论 心脏标志物的检测不仅对ACS的诊断、危险分层和预后判断有重要意义,而且对指导护理ACS患者有着重要的作用,提高了护士对危险因素的识别能力,及时采取有效的措施,减少并发症,降低死亡率,提高患者与家属的满意度.
目的 探討心髒標誌物的臨床變化,及其指導護理急性冠狀動脈綜閤徵(ACS)患者的作用效果.方法 將心血管內科和CCU的ACS患者100例隨機分為觀察組和對照組各50例.對照組接受常規護理,觀察組在常規護理組的基礎上結閤心髒標誌物的暘性結果,對患者進行榦預.比較2組患者B型鈉尿肽、肌紅蛋白、肌痠激酶同工酶、心肌鈣蛋白I、心電圖正常、心力衰竭、心源性休剋等指標的變化情況.併比較2組患者及傢屬對護理人員的評價.結果 B型鈉尿肽、肌紅蛋白、肌痠激酶同工酶、心肌鈣蛋白I、心電圖正常、心力衰竭、心源性休剋等指標比較觀察組顯著優于對照組,觀察組患者及傢屬對護理人員有較滿意的評價.結論 心髒標誌物的檢測不僅對ACS的診斷、危險分層和預後判斷有重要意義,而且對指導護理ACS患者有著重要的作用,提高瞭護士對危險因素的識彆能力,及時採取有效的措施,減少併髮癥,降低死亡率,提高患者與傢屬的滿意度.
목적 탐토심장표지물적림상변화,급기지도호리급성관상동맥종합정(ACS)환자적작용효과.방법 장심혈관내과화CCU적ACS환자100례수궤분위관찰조화대조조각50례.대조조접수상규호리,관찰조재상규호리조적기출상결합심장표지물적양성결과,대환자진행간예.비교2조환자B형납뇨태、기홍단백、기산격매동공매、심기개단백I、심전도정상、심력쇠갈、심원성휴극등지표적변화정황.병비교2조환자급가속대호리인원적평개.결과 B형납뇨태、기홍단백、기산격매동공매、심기개단백I、심전도정상、심력쇠갈、심원성휴극등지표비교관찰조현저우우대조조,관찰조환자급가속대호리인원유교만의적평개.결론 심장표지물적검측불부대ACS적진단、위험분층화예후판단유중요의의,이차대지도호리ACS환자유착중요적작용,제고료호사대위험인소적식별능력,급시채취유효적조시,감소병발증,강저사망솔,제고환자여가속적만의도.
Objective To investigate changes in cardiac markers and its effect on instructing nursing of patients with acute coronary syndrome(ACS).Methods 100 ACS patients from cardiology department and CCU were randomly divided into the observation group and the control group. The control group was given routine care. the observation group was given intervention according to positive results of cardiac markers. Some indexes such as B-type natriuretic peptide, myoglobin, creatine kinase isoenzyme, cardiac troponin I, and EKG, congestive heart failure and cardiogenic shock as well as appraisal of patients and relatives to nurses were compared between the two groups. Results The observation group was better than the control group in subsequent indicators: B-type natriuretic peptide, myoglobin, creatine kinase isoenzyme, cardiac troponin I,EKG, congestive heart failure and cardiogenic shock, and appraisal of patients and relatives to nurses was also better than the control group. Conclusions Detection of cardiac markers not only has significance for diagnosis, risk stratification and prognosis of ACS, but also help to instruct nursing of ACS patients. It has an important role in raising the nurses ability to identify risk factors and take effective measures to reduce complications and mortality, improve satisfaction degree of patients and their family members.
