中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
19期
113-115,122
,共4页
冠状动脉介入术%并发症%原因%护理
冠狀動脈介入術%併髮癥%原因%護理
관상동맥개입술%병발증%원인%호리
Coronary intervention%Complication%Occurrence cause%Nursing
目的：分析冠状动脉介入手术之后并发症发生的相关情况，探讨其发生原因及相应的护理措施，为临床治疗提供更为科学、有效的护理方案。方法将达州市中心医院2011年6月~2013年8月收治的245例实施冠状动脉介入手术的患者，观察其术后出现的并发症情况。将其中发生并发症的74例患者，分为观察组和对照组，每组各37例，分别给予有针对性的个性化护理和常规护理，比较护理效果，总结护理要点。结果观察组采取有针对性的个性化护理后，无低血压和尿潴留，出血1例，急性闭塞1例，迷走神经反射1例，共3例(8.11%)；对照组给予常规护理后，出血4例，低血压2例，尿潴留3例，急性闭塞4例，迷走神经反射3例，共16例(43.24%)，两组比较差异有统计学意义(P<0.05)。结论患者在进行冠状动脉介入术后，应观察是否发生并发症，并及时采取有针对性的护理方法，降低并发症的发生率。
目的：分析冠狀動脈介入手術之後併髮癥髮生的相關情況，探討其髮生原因及相應的護理措施，為臨床治療提供更為科學、有效的護理方案。方法將達州市中心醫院2011年6月~2013年8月收治的245例實施冠狀動脈介入手術的患者，觀察其術後齣現的併髮癥情況。將其中髮生併髮癥的74例患者，分為觀察組和對照組，每組各37例，分彆給予有針對性的箇性化護理和常規護理，比較護理效果，總結護理要點。結果觀察組採取有針對性的箇性化護理後，無低血壓和尿潴留，齣血1例，急性閉塞1例，迷走神經反射1例，共3例(8.11%)；對照組給予常規護理後，齣血4例，低血壓2例，尿潴留3例，急性閉塞4例，迷走神經反射3例，共16例(43.24%)，兩組比較差異有統計學意義(P<0.05)。結論患者在進行冠狀動脈介入術後，應觀察是否髮生併髮癥，併及時採取有針對性的護理方法，降低併髮癥的髮生率。
목적：분석관상동맥개입수술지후병발증발생적상관정황，탐토기발생원인급상응적호리조시，위림상치료제공경위과학、유효적호리방안。방법장체주시중심의원2011년6월~2013년8월수치적245례실시관상동맥개입수술적환자，관찰기술후출현적병발증정황。장기중발생병발증적74례환자，분위관찰조화대조조，매조각37례，분별급여유침대성적개성화호리화상규호리，비교호리효과，총결호리요점。결과관찰조채취유침대성적개성화호리후，무저혈압화뇨저류，출혈1례，급성폐새1례，미주신경반사1례，공3례(8.11%)；대조조급여상규호리후，출혈4례，저혈압2례，뇨저류3례，급성폐새4례，미주신경반사3례，공16례(43.24%)，량조비교차이유통계학의의(P<0.05)。결론환자재진행관상동맥개입술후，응관찰시부발생병발증，병급시채취유침대성적호리방법，강저병발증적발생솔。
Objective To analyse the occurrence cause of complication after coronary intervention therapy, and explore the reasons and nursing measures, for the clinical treatment to provide more scientific and effective care program. Methods From June 2011 to August 2013, in Central Hospital of Dazhou City, 245 patients treated with percutaneous coronary intervetion were selected and the complication after coronary intervention therapy were observed. 74 patiens with complication after coronary intervention therapy were divided into observation group and control group, with 37 cases in each group. The observation group were treated with targeted personalized care, and the control group were treated with usual care. Then the reasons were analysed, the nursing effect were compared and the key points of nursing were summarized. Results After treated by targeted personalized care, in the observation group, 1 case was hemorrhage, no case was hypotension, no case was urinary retention, 1 case was acute occlusion and 1 case was vagal reflex, total were 3 cases (8.11%). After treated by usual care, in the control group, 4 cases were hemorrhage, 2 cases were hy-potension, 3 cases were urinary retention, 4 cases were acute occlusion and 3 cases were vagal reflex, total were 16 cases (43.24%). The nursing measures with pertinency could reduce the incidence of complication effectively. Conclu-sion After the coronary intervention therapy, occurrence situation of complication should be observed, the relevant nursing measures should be applied timely, it can reduce the incidence of complications.
