齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
Journal of Qiqihar University of Medicine
2015年
30期
4654-4656
,共3页
替格瑞洛%氯吡格雷%急性冠脉综合征%护理
替格瑞洛%氯吡格雷%急性冠脈綜閤徵%護理
체격서락%록필격뢰%급성관맥종합정%호리
Ticagrelor%Clopidogrel%Acute coronary syndrome%Nursing
目的 探讨替格瑞洛在冠心病患者中的应用,分析护理效果. 方法 将入选的50例ACS患者按治疗方式不同分为两组,每组各25例,在常规治疗方案基础上,氯吡格雷组采用氯吡格雷进行抗血小板,替格瑞洛组采用替格瑞洛进行抗血小板,两组患者用药后给予及全面的临床护理干预:住院期间加强宣教,普及疾病相关知识,进行心理干预;出院后严密随访病情、不良反应,加强健康指导,强调家庭支持干预. 对两组患者的服药依从性、心血管事件及药物不良反应发生情况进行统计分析. 结果 替格瑞洛组依从性好于氯吡格雷组(χ2 =4.905;P<0.05),两组患者缺血事件发生率无统计学差异(χ2 =0.312;P>0.05),两组患者不良反应发生情况均无统计学差异(χ2 =0.622;P>0.05). 结论 替格瑞洛对ACS患者具有显著疗效,预防心脏缺血事件及不良反应率不劣于氯吡格雷. 护理干预能有效提高患者依从性,为临床研究的顺利进行提供护理保障.
目的 探討替格瑞洛在冠心病患者中的應用,分析護理效果. 方法 將入選的50例ACS患者按治療方式不同分為兩組,每組各25例,在常規治療方案基礎上,氯吡格雷組採用氯吡格雷進行抗血小闆,替格瑞洛組採用替格瑞洛進行抗血小闆,兩組患者用藥後給予及全麵的臨床護理榦預:住院期間加彊宣教,普及疾病相關知識,進行心理榦預;齣院後嚴密隨訪病情、不良反應,加彊健康指導,彊調傢庭支持榦預. 對兩組患者的服藥依從性、心血管事件及藥物不良反應髮生情況進行統計分析. 結果 替格瑞洛組依從性好于氯吡格雷組(χ2 =4.905;P<0.05),兩組患者缺血事件髮生率無統計學差異(χ2 =0.312;P>0.05),兩組患者不良反應髮生情況均無統計學差異(χ2 =0.622;P>0.05). 結論 替格瑞洛對ACS患者具有顯著療效,預防心髒缺血事件及不良反應率不劣于氯吡格雷. 護理榦預能有效提高患者依從性,為臨床研究的順利進行提供護理保障.
목적 탐토체격서락재관심병환자중적응용,분석호리효과. 방법 장입선적50례ACS환자안치료방식불동분위량조,매조각25례,재상규치료방안기출상,록필격뢰조채용록필격뢰진행항혈소판,체격서락조채용체격서락진행항혈소판,량조환자용약후급여급전면적림상호리간예:주원기간가강선교,보급질병상관지식,진행심리간예;출원후엄밀수방병정、불량반응,가강건강지도,강조가정지지간예. 대량조환자적복약의종성、심혈관사건급약물불량반응발생정황진행통계분석. 결과 체격서락조의종성호우록필격뢰조(χ2 =4.905;P<0.05),량조환자결혈사건발생솔무통계학차이(χ2 =0.312;P>0.05),량조환자불량반응발생정황균무통계학차이(χ2 =0.622;P>0.05). 결론 체격서락대ACS환자구유현저료효,예방심장결혈사건급불량반응솔불렬우록필격뢰. 호리간예능유효제고환자의종성,위림상연구적순리진행제공호리보장.
Objective To explore the application of ticagrelor in patients with coronary heart disease and analysis the nursing effect.Methods 50 ACS patients were enrolled, divided into two groups.Based on conventional therapy, clopidogrel group with clopidogrel antiplatelet, ticagrelor group was given by ticagrelor platelet.Both groups giving the comprehensive clinical nursing intervention.Strengthening health education during hospitalization, spread of disease related knowledge, psychological intervention; Careful follow-up the disease, the adverse reaction after discharge, enhancing health education, emphasis on family support intervention, analyzed the two groups of patients with medication compliance, cardiovascular events and adverse drug reaction.Results Clopidogrel group exhibited better medication compliance than ticagrelor group(χ2 =4. 905;P<0.05).Incidence of ischemic event without statistically significant difference (χ2 =0.312;P>0.05). The incidence of adverse reactions were not statistically different (χ2 =0.622; P >0.05 ) .Conclusions Ticagrelor has obvious therapeutic effect on ACS patients, prevention of cardiac ischemic events and adverse reaction rate is not inferior to clopidogrel.Nursing intervention can improve the compliance of patients, to provide nursing support for the clinical study smoothly.
