CAJ | 학술논문

目的探讨冠状动脉介入术后并发血管迷走反射患者的有效护理措施.方法回顾性分析解放军总医院心血管病中心2007年1月至2012年1月行冠状动脉介入术后并发血管迷走反射的32例患者的抢救过程,总结临床护理经验、预防措施及抢救流程.结果因护理发现及时,保持有效静脉通路,拔管时医护密切配合,重视拔管时患者精神状态,针对高危人群提前备好抢救用药等措施,32例患者均未发生严重并发症.结论减少冠状动脉介入术后血管迷走反射的发生重在预防,及早发现,加强拔除鞘管时的医护配合,有助于降低血管迷走反射的发生.
목적 탐토관상동맥개입술후병발혈관미주반사환자적유효호리조시.방법 회고성분석해방군총의원심혈관병중심2007년1월지2012년1월행관상동맥개입술후병발혈관미주반사적32례환자적창구과정,총결림상호리경험、예방조시급창구류정.결과 인호리발현급시,보지유효정맥통로,발관시의호밀절배합,중시발관시환자정신상태,침대고위인군제전비호창구용약등조시,32례환자균미발생엄중병발증.결론 감소관상동맥개입술후혈관미주반사적발생중재예방,급조발현,가강발제초관시적의호배합,유조우강저혈관미주반사적발생.
Objective To investigate the nursing care effect of percutaneous coronary intervention (PCI) related vasovagal reflex(VVR).Methods This retrospect study was designed to evaluate the PCI related VVR in Cardiovascular center of PLA General Hospital in the latest 5 years.Totally 32 patients occured VVR.The preventive and therapeutic experience about nursing care was evaluated.Results Among 32 patients with VVR,no severe complications were found in all subjects with the following preventive and therapeutic procedures:intensive nursing care,keep the venous vein passage,cooperation between nurses and doctors,pay attention to the patient's mood and general characteristics,well preparation of rescue procedures.Conclusions The intensive nursing care,well preparation of preventive and therapeutic procedures,and cooperation between nurses and doctors are the effective methods to avoid the occurence of VVR.