急性ST段抬高型心肌梗死患者急诊PCI术后I期心脏康复护理研究

发布时间：2018-01-17 16:18

本文关键词：急性ST段抬高型心肌梗死患者急诊PCI术后I期心脏康复护理研究　出处：《护理学杂志》2016年23期 　论文类型：期刊论文

【摘要】：目的探讨I期心脏康复七步训练法用于急性ST段抬高型心肌梗死急诊PCI术后患者的效果。方法将100例急性ST段抬高型心肌梗死直接PCI术后患者随机分为观察组52例和对照组48例,对照组给予急性心肌梗死PCI术后常规护理,观察组在对照组的基础上实施I期心脏康复七步法护理。结果两组住院期间心律失常发生率比较,差异无统计学意义(均P0.05),观察组CCU监护时间、住院时间显著短于对照组,PCI术后首次排便时间显著早于对照组(均P0.01)。结论对急性ST段抬高型心肌梗死直接PCI术后患者实施个体化的I期心脏康复护理有利于缩短CCU监护时间及住院时间,预防便秘发生,促进患者安全。
[Abstract]:Objective to investigate the effect of seven steps cardiac rehabilitation training in acute St segment elevation myocardial infarction after emergency PCI operation. Methods 100 patients with acute St segment elevation myocardial infarction after direct PCI operation were studied. They were randomly divided into observation group (n = 52) and control group (n = 48). The control group was given routine nursing after acute myocardial infarction (PCI), and the observation group was given seven steps of cardiac rehabilitation on the basis of the control group. Results the incidence of arrhythmia was compared between the two groups during hospitalization. There was no significant difference between the two groups (P 0.05). The CCU monitoring time and hospitalization time in the observation group were significantly shorter than those in the control group. The first defecation time after PCI was significantly earlier than that in the control group (all P 0.01). Conclusion individualized stage I cardiac rehabilitation nursing for patients with acute St segment elevation myocardial infarction after direct PCI is beneficial to shorten the duration of CCU monitoring and hospital stay. To prevent constipation and promote the safety of patients.
【作者单位】：佛山市第二人民医院心脏中心;
【基金】：佛山市科技局基金立项项目(201308026) 佛山市医学重点专科培育项目(Fspy3-2015020)
【分类号】：R473.5
【正文快照】： 急诊经皮冠状动脉介入术(Percutaneous Coro-nary Intervention,PCI)是当前治疗急性心肌梗死(Acute Myocardial Infarction,AMI)最有效的手段[1-2],但PCI术后仍然存在冠状动脉再狭窄和缺血的风险,术后康复护理和进一步治疗在降低患者复发率和死亡率中显得尤为重要。医生通常要

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