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目的:监测中年女性患者室间隔消融术后心肌酶变化特点及相应不良反应的发生情况,探讨术后心理干预的预防作用。方法:观察38例肥厚型心肌病保守治疗无效的患者,在行室间隔消融术后严密监护心电,测定心肌酶变化,每4 h测1次共6次,之后每天测1次共2次,记录术后0~8 h、9~16 h、17~24 h及25~72 h心肌酶变化情况及相应发生的不良反应。结果:38例中年女性患者术后0~8 h心肌酶各项指标均升高,不良反应为40次;9~16 h心肌酶各项指标渐渐下降,值仍较高,不良反应为12次;17~24 h心肌酶各项指标持续下降至低值,不良反应为1次;25~72 h心肌酶各项指标基本接近正常,不良反应为2次。结论:室间隔消融术后心肌酶的监测有利于指导制定术后的心理干预措施,达到预防不良反应发生的作用。
Objective: To monitor the changes of myocardial enzymes and the corresponding adverse reactions after interventricular septum ablation in middle-aged female patients, and to explore the preventive effect of postoperative psychological intervention. Methods: 38 patients with conservative treatment of hypertrophic cardiomyopathy were observed in patients with stricture after interventricular septal ablation, cardiac enzyme activity changes measured every 4 h 1 times a total of 6 times a day after the test a total of 2 times The changes of myocardial enzymes at 0 ~ 8 h, 9 ~ 16 h, 17 ~ 24 h and 25 ~ 72 h after operation were recorded and the corresponding adverse reactions were recorded. Results: Thirty-eight middle-aged female patients showed increased myocardial enzymes at 0-8 h postoperatively, with 40 adverse reactions. The indexes of myocardial enzymes gradually decreased from 9 to 16 h, the values were still high, and their adverse reactions were 12 The indexes of myocardial enzymes decreased continuously to low value from 17 to 24 h, and the adverse reactions were once. The indexes of myocardial enzymes in 25 ~ 72 h were almost normal and the adverse reaction was 2 times. Conclusion: The monitoring of myocardial enzymes after interventricular septum ablation is helpful to guide the postoperative psychological interventions to prevent the occurrence of adverse reactions.