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目的探讨综合性护理干预在华法林治疗持续性心房颤动中的效果。方法选取我院2016年6月至2017年1月收治的68例持续性心房颤动的患者,其中64例非瓣膜病患者(CHAD S2≥2),瓣膜病患者4例。对患者住院期间及出院后进行综合性护理干预,评价疗效。结果通过正规的抗凝及综合性治疗和护理后,68例患者均能有效控制病情,没有一例发生血栓栓塞事件,有一例较轻微的鼻出血,调整华法林用量后出血停止。结论综合性护理干预能有效改善经华法林治疗的持续性心房颤动的病人的生活质量,提高抗凝药的有效性及安全性。
Objective To investigate the effect of comprehensive nursing intervention on warfarin in the treatment of persistent atrial fibrillation. Methods Sixty-eight patients with persistent atrial fibrillation who were admitted to our hospital from June 2016 to January 2017 were selected, including 64 patients with non-valvular disease (CHAD S2≥2) and 4 patients with valvular disease. During the hospitalization of patients and discharged after a comprehensive nursing intervention to evaluate the efficacy. Results After the regular anticoagulation and comprehensive treatment and care, 68 patients were able to effectively control the disease, no case of thromboembolism, a case of minor nosebleeds, bleeding adjusted after the amount of warfarin stopped. Conclusion Comprehensive nursing intervention can effectively improve the quality of life of patients with persistent atrial fibrillation treated with warfarin and improve the effectiveness and safety of anticoagulants.