CAJ | 학술논문

目的分析我院安置永久性人工心脏起搏器患者并发症的演变特点及对护理工作的影响。方法将我院2006年1月~2013年6月安置永久性人工心脏起搏器患者按时间分为两组，第一组为2006年1月~2011年12月共304例，第二组为2012年1月~2013年06月共215例，两组病例均包括VVI型及DDD型。分别统计各组患者并发症的发病率并进行分析。结果研究发现常见并发症如皮下血肿、切口感染、起搏器介导的心律失常等的发生率未见明显改变(跃0.10)，但第二组患者电极脱位的发生率明显低于第一组，具有明显统计学意义(约0.01)。结论随着技术发展，电极脱位发生率明显降低，但皮下血肿、切口感染等并发症发生率未见明显改变，以上结论对临床护理提出了新的要求，具有重要指导意义。
목적분석아원안치영구성인공심장기박기환자병발증적연변특점급대호리공작적영향。방법장아원2006년1월~2013년6월안치영구성인공심장기박기환자안시간분위량조，제일조위2006년1월~2011년12월공304례，제이조위2012년1월~2013년06월공215례，량조병례균포괄VVI형급DDD형。분별통계각조환자병발증적발병솔병진행분석。결과연구발현상견병발증여피하혈종、절구감염、기박기개도적심률실상등적발생솔미견명현개변(약0.10)，단제이조환자전겁탈위적발생솔명현저우제일조，구유명현통계학의의(약0.01)。결론수착기술발전，전겁탈위발생솔명현강저，단피하혈종、절구감염등병발증발생솔미견명현개변，이상결론대림상호리제출료신적요구，구유중요지도의의。
Objective To analyse the evolution of complication in patient with pacemaker implantation and its ef ect on perioperation care. Methods It was individed into two groups which included VVI and DDD according to the time of surgery between January 2006 and June 2013.The first group contained 304 cases from January 2006 to December 2011.Another group contained 215 cases from January 2012 to June 2013. To ananlyse the incidence of complication in patient with pacemaker implantation. Results The study indicated that the incidence of complications such as subcutaneous hematoma, infection of incision, arrhythmia mediated by pacemaker was not significant change ( >0.10).However, the incidence of electrode dislocation in the second group was obviously lower than that in the first group ( <0.01). Conclusion With the development of surgery technology, the incidence of electrode dislocation was significantly lower. But the incidence of implications such as subcutaneous hematoma, infection of incision was not changed obviously. The results supported great meaning for clinic nursing and put ed forward new requirement to perioperation care in pacemaker implantation.