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目的探讨术中观察及护理在急性心肌梗死行急诊经皮冠状动脉介入治疗(PCI)术患者中的应用效果。方法选取上海市浦东新区人民医院2014年收治的急性心肌梗死行急诊PCI术患者93例,术中严密观察患者生命体征、心电监护和有创血压变化情况,积极有效处理并发症并予以有效护理措施,术后2周评价患者临床疗效,观察患者心房颤动、快速心律失常、缓慢心律失常、低血压、低复流或无复流等并发症发生情况及护理满意度。结果88例患者总有效率为100.00%,患者术中出现低复流或无复流4例(4.55%),心房颤动6例(6.82%),快速心律失常12例(13.64%),缓慢心律失常15例(17.05%),低血压38例(43.18%),经对症处理后均顺利完成手术。88例患者护理满意率为94.32%(83/85)。结论术中观察及护理在急性心肌梗死行急诊PCI术患者中的应用效果确切,可提高患者临床疗效,及时处理术中并发症,提高护理满意度。
Objective To investigate the effect of intraoperative observation and nursing in patients undergoing emergency percutaneous coronary intervention (PCI) in acute myocardial infarction. Methods Ninety-three patients undergoing emergency PCI during acute myocardial infarction admitted to Shanghai Pudong New District People’s Hospital in 2014 were enrolled in this study. Vital signs, ECG monitoring and invasive blood pressure were monitored intraoperatively in patients with acute myocardial infarction. The complications were effectively and effectively treated The clinical curative effect was evaluated 2 weeks after operation. The incidence of complications such as atrial fibrillation, tachyarrhythmia, bradyarrhythmia, hypotension, low or no reflow, and nursing satisfaction were observed. Results The total effective rate of 88 patients was 100.00%. There were 4 cases (4.55%) of low or no reflow, 6 cases of atrial fibrillation (6.82%), 12 cases of tachyarrhythmia (13.64%), slow heart rate Fifteen cases were abnormal (17.05%) and 38 cases (43.18%) were hypotension. After the symptomatic treatment, the operation was successfully completed. The satisfaction rate of nursing in 88 patients was 94.32% (83/85). Conclusion Intraoperative observation and nursing are effective in the emergency PCI patients with acute myocardial infarction, which can improve the clinical efficacy, timely treatment of intraoperative complications and improve nursing satisfaction.