CAJ | 학술논문

目的探讨急性 ST 段抬高型心肌梗死(STEMI)患者行急诊经皮冠状动脉介入治疗(PCI)中应用Ⅱ b/Ⅲ a 受体拮抗剂盐酸替罗非班治疗的观察与临床护理措施.方法选择急诊入院的 STEMI 患者230例,随机分为观察组(PCI+盐酸替罗非班)115例和对照组(直接 PCI)115例,收集两组患者临床护理资料进行回顾性分析,分析观察要点和护理措施.结果观察组有35例患者出现不同部位、不同程度出血倾向,总出血率30.43%;对照组中10例患者出现出血倾向,均为穿刺点渗血,出血率8.70%;两组间出血率比较差异具有显著性(P <0.05);发生出血倾向的患者在及时停药或减量、弹力绷带加压包扎等措施下均顺利完成治疗,无死亡病例.结论在急诊 PCI 术中应用盐酸替罗非班,护士需重点观察患者有无出血倾向,从而提高介入治疗的安全性.
목적탐토급성 ST 단태고형심기경사(STEMI)환자행급진경피관상동맥개입치료(PCI)중응용Ⅱ b/Ⅲ a 수체길항제염산체라비반치료적관찰여림상호리조시.방법선택급진입원적 STEMI 환자230례,수궤분위관찰조(PCI+염산체라비반)115례화대조조(직접 PCI)115례,수집량조환자림상호리자료진행회고성분석,분석관찰요점화호리조시.결과관찰조유35례환자출현불동부위、불동정도출혈경향,총출혈솔30.43%;대조조중10례환자출현출혈경향,균위천자점삼혈,출혈솔8.70%;량조간출혈솔비교차이구유현저성(P <0.05);발생출혈경향적환자재급시정약혹감량、탄력붕대가압포찰등조시하균순리완성치료,무사망병례.결론재급진 PCI 술중응용염산체라비반,호사수중점관찰환자유무출혈경향,종이제고개입치료적안전성.
Objective To explore the observation and clinical nursing measures of acute ST segment elevation myocardial infarction(STEMI)patients underwent emergency PCI therapy in application of Ⅱ b/Ⅲa receptor antagonists tirofiban. Methods Selected 230 cases of STEMI patients,randomLy divided into observation group(PCI+tirofiban hydrochloride) in 115 cases and control group (PCI) in 115 cases,collected two groups’ clinical care information and retrospectively analyzed the main points and nursing measures. Results The observation group 35 patients appeared different parts, different bleeding tendency, the total bleeding rate was 30.43%; and control group 10 patients appeared the bleeding tendency, all puncture oozing, bleeding rates was 8.70%;bleeding rate between two groups was significant(P<0.05).no deaths. Conclusion In emergency PCI use tirofiban hydrochloride,the nurses have to focus on patients’ bleeding tendency, so as to improve the interventional therapy safety.