CAJ | 학술논문

目的：分析瓣膜置换术同期行改良迷宫术治疗房颤患者的护理效果。方法2013年2月～2014年4月期间，我院顺利完成瓣膜置换术同期行改良迷宫术治疗房颤患者共56例，对患者进行围术期护理，观察护理效果。结果研究发现有2例患者频发室颤，11例患者反复出现心律失常，2例患者AVB，患者在出院后5个月内，有3例患者转变成为窦性心律，房颤消除率为83.93%（47/56）。结论对于房颤患者而言，采用瓣膜置换术同期行改良迷宫术是一种安全有效的治疗手段，为患者做好围术期的护理工作能够进一步降低房颤发生率，提高手术治疗效果。
목적：분석판막치환술동기행개량미궁술치료방전환자적호리효과。방법2013년2월～2014년4월기간，아원순리완성판막치환술동기행개량미궁술치료방전환자공56례，대환자진행위술기호리，관찰호리효과。결과연구발현유2례환자빈발실전，11례환자반복출현심률실상，2례환자AVB，환자재출원후5개월내，유3례환자전변성위두성심률，방전소제솔위83.93%（47/56）。결론대우방전환자이언，채용판막치환술동기행개량미궁술시일충안전유효적치료수단，위환자주호위술기적호리공작능구진일보강저방전발생솔，제고수술치료효과。
Objective Analysis the nursing for valve replacement and modiifed maze surgery for atrial ifbrillation.Methods From February 2013 to April 2014, a total of 56 patients with atrial ifbrillation received complete line valve replacement and the treatment of modified maze, conducted perioperative nursing care of patients, discussed the nursing effect. Results 2 cases had frequent ventricular ifbrillation, 11 cases had recurrent arrhythmia, 2 cases had AVB. 5 months after hospital discharge, there were three patients turning into sinus rhythm, atrial ifbrillation eliminating rate was 83.93% (47/56).Conclusion For patients with atrial ifbrillation, adopt valve replacement and improved maze surgery are safe and effective treatment, and perioperative nursing can reduce the incidence of atrial ifbrillation, to further improve the effect of surgical treatment.