护理实践与研究
護理實踐與研究
호리실천여연구
ATTEND TO PRACTICE AND RESEARCH
2014年
4期
1-3
,共3页
经皮冠状动脉介入治疗%再灌注心律失常%急性心肌梗死%影响因素
經皮冠狀動脈介入治療%再灌註心律失常%急性心肌梗死%影響因素
경피관상동맥개입치료%재관주심률실상%급성심기경사%영향인소
Percutaneous coronary interventions%Reperfusion arrhythmia%Acute myocardial infarction%Factors
目的：探讨经皮冠状动脉介入( PCI)术中发生再灌注心律失常( RA)的影响因素与护理。方法：选择急性心肌梗死( AMI)并行PCI治疗的患者192例，其中109例患者在PCI术中发生RA。分析RA发生的可疑因素并纳入Logistic回归分析。结果：血糖>6.0 mmol/L、手术时间>1 h、动脉压力波形异常、病变血管血流TIMI 0级、发病至血管再通时间≤6 h、多支血管病变是RA发生的危险因素(均P<0.05)。结论：控制血糖水平，缩短手术时间，及时监测动脉压波形及相关病变血管情况是治疗AMI的关键。
目的：探討經皮冠狀動脈介入( PCI)術中髮生再灌註心律失常( RA)的影響因素與護理。方法：選擇急性心肌梗死( AMI)併行PCI治療的患者192例，其中109例患者在PCI術中髮生RA。分析RA髮生的可疑因素併納入Logistic迴歸分析。結果：血糖>6.0 mmol/L、手術時間>1 h、動脈壓力波形異常、病變血管血流TIMI 0級、髮病至血管再通時間≤6 h、多支血管病變是RA髮生的危險因素(均P<0.05)。結論：控製血糖水平，縮短手術時間，及時鑑測動脈壓波形及相關病變血管情況是治療AMI的關鍵。
목적：탐토경피관상동맥개입( PCI)술중발생재관주심률실상( RA)적영향인소여호리。방법：선택급성심기경사( AMI)병행PCI치료적환자192례，기중109례환자재PCI술중발생RA。분석RA발생적가의인소병납입Logistic회귀분석。결과：혈당>6.0 mmol/L、수술시간>1 h、동맥압력파형이상、병변혈관혈류TIMI 0급、발병지혈관재통시간≤6 h、다지혈관병변시RA발생적위험인소(균P<0.05)。결론：공제혈당수평，축단수술시간，급시감측동맥압파형급상관병변혈관정황시치료AMI적관건。
Objective:To investigate the factors and nursing of reperfusion arrhythmia ( RA) before and during percutaneous coronary interventions ( PCI) . Methods:192 patients with acute myocardial infarction ( AMI) treated by PCI were collected for study. Suspicious factors were analyzed for RA patients and assessed by Logistic regression model. Results:Glucose >6. 0 mmol/L,operative time >1 h,abnormal arterial pressure waveform,lesions blood flow TIMI level-0,onset to recanalization time≤6 h,multi-vessel disease were risk factors for the RA (P<0. 05). Conclusion:It is critical to treat AMI patients by controlling blood glucose,shortening operative time,timely monitoring arterial pressure waveform and related vascular lesions.
