中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
23期
90-92
,共3页
急性心肌梗死%溶栓治疗%护理
急性心肌梗死%溶栓治療%護理
급성심기경사%용전치료%호리
Acute myocardial infarction%Intravenous thrombolytic therapy%Nursing
目的：探讨优化急性心肌梗死（AMI）患者围溶栓期用药护理的临床效果。方法：选取本院急诊科2012年1月-2013年12月收治的32例接受溶栓治疗的AMI患者作为观察组，另选取2010年1月-2011年12月收治的30例接受溶栓治疗的AMI患者作为对照组。对照组采用常规护理方法，观察组在常规护理方法的基础上采用优化的AMI患者围溶栓期用药护理，观察比较两组的护理效果。结果：观察组患者溶栓期间的低血压或低心率发生率、恶性心律失常发生率明显低于对照组，住院天数明显短于对照组，且HAMD和HAMA阳性率均明显低于对照组，差异均有统计学意义（P<0.05）。结论：积极开展优化的AMI围溶栓期用药护理，可以减少并发症发生率，缩短住院天数，减轻患者心理负担，具有良好的临床应用前景。
目的：探討優化急性心肌梗死（AMI）患者圍溶栓期用藥護理的臨床效果。方法：選取本院急診科2012年1月-2013年12月收治的32例接受溶栓治療的AMI患者作為觀察組，另選取2010年1月-2011年12月收治的30例接受溶栓治療的AMI患者作為對照組。對照組採用常規護理方法，觀察組在常規護理方法的基礎上採用優化的AMI患者圍溶栓期用藥護理，觀察比較兩組的護理效果。結果：觀察組患者溶栓期間的低血壓或低心率髮生率、噁性心律失常髮生率明顯低于對照組，住院天數明顯短于對照組，且HAMD和HAMA暘性率均明顯低于對照組，差異均有統計學意義（P<0.05）。結論：積極開展優化的AMI圍溶栓期用藥護理，可以減少併髮癥髮生率，縮短住院天數，減輕患者心理負擔，具有良好的臨床應用前景。
목적：탐토우화급성심기경사（AMI）환자위용전기용약호리적림상효과。방법：선취본원급진과2012년1월-2013년12월수치적32례접수용전치료적AMI환자작위관찰조，령선취2010년1월-2011년12월수치적30례접수용전치료적AMI환자작위대조조。대조조채용상규호리방법，관찰조재상규호리방법적기출상채용우화적AMI환자위용전기용약호리，관찰비교량조적호리효과。결과：관찰조환자용전기간적저혈압혹저심솔발생솔、악성심률실상발생솔명현저우대조조，주원천수명현단우대조조，차HAMD화HAMA양성솔균명현저우대조조，차이균유통계학의의（P<0.05）。결론：적겁개전우화적AMI위용전기용약호리，가이감소병발증발생솔，축단주원천수，감경환자심리부담，구유량호적림상응용전경。
To investigate the clinical effect of optimized medicine nursing during intravenous thrombolytic therapy in acute myocardial infarction(AMI).Method:32 AMI patients who received intravenous thrombolytic therapy in our hospital emergency department from January 2012 to December 2013 were selected as the observation group,and 30 AMI patients who received intravenous thrombolytic therapy from January 2010 to December 2011 were selected as the control group.The control group was given conventional nursing methods,but the observation group was given optimized medicine nursing during intravenous thrombolytic therapy on the basis of conventional nursing methods.The nursing effects between the two groups was observed and compared.Result:The incidence rate of hypotension,bradycardia and malignance arrythmia in observation group were significantly lower than the control group,hospital stay was significantly shorter than the control group,and the positive rates of HAMD and HAMA in the observation group was significantly lower than the control group,the differences were statistically significant(P<0.05). Conclusion:Actively carry out optimized medicine nursing during intravenous thrombolytic therapy can reduce the incidence of complications and hospital stay,and relieve the patients psychological burden.It has a good prospect of clinical application.
