探讨主动脉内球囊反搏(IABP)在高危PCI术中的护理措施.docVIP

探讨主动脉内球囊反搏 (IABP)在高危PCI术中的护理措施 【摘要】目的：探讨主动脉内球囊反搏（IABP）在高危PCI术中的护理措施。方法：回顾性分析2012年4月~2015年10月收治于我院的28例急性心肌梗死并发心源性休克患者的临床资料，所有患者在接受经皮冠状动脉介入治疗（PCI）术前或者术中均应用IABP进行辅助治疗。结果：本组所有患者在接受IABP辅助治疗后，心脏功能得到显著改善，临床治疗效果良好，患者的平均住院时间为（14.18±5.36）d，使用IABP的平均时间为（3.68±1.43）d，共有25例患者经治疗后痊愈出院，3例因手术失败而死亡。痊愈的25例患者中共有7例并发症出现，后经及时的处理恢复正常。结论：高危PCI术中采用主动脉内球囊反搏（IABP）辅助治疗的过程中，要严格按照要求实施科学、规范的护理措施，确保临床治疗的效果，改善患者的预后。 【关键词】主动脉内球囊反搏；经皮冠状动脉介入；护理措施 Discussion?Intra-aortic?balloon?counterpulsation?(IABP)?in?high-risk?PCI?patients?in?nursing [Abstract] Objective: To investigate the intra-aortic balloon counterpulsation (IABP) in high-risk PCI patients in nursing. Methods: A retrospective analysis in April 2012 - October 2015 admitted to the clinical data of 28 patients with acute myocardial infarction complicated by cardiogenic shock patients in our hospital, all patients undergoing percutaneous coronary intervention (PCI) or preoperative intervention Surgery was applied IABP adjuvant therapy. Results: All patients in this group receiving IABP after adjuvant therapy, cardiac function was significantly improved clinical effect is good, average length of stay of patients was (14.18 ± 5.36) d, using IABP average time was (3.68 ± 1.43) d, A total of 25 patients were discharged after treatment, 3 cases of surgical failure and death. Recovery of 25 cases of a total of seven cases of patients with complications, after timely treatment returned to normal. Conclusion: The high-risk PCI intraoperative use of intra-aortic balloon counterpulsation (IABP) adjuvant therapy process, to strictly implement scientific, standardized care measures as required to ensure that the clinical effects of treatment and improve the prognosis of patients. [Key words] IABP; PCI; care measures 主动脉内球囊反搏（IABP）是临床常用于辅助治疗心脏疾病的机械性辅助循环装置，通过将固定在导管的圆柱形气囊结构安放在胸主动脉部位，以提高主动脉的内舒张压，从而增强冠状动脉的供血能力，改善心脏疾病患者的心肌功能，目前已经广泛应用于高危心脏疾病患者的治疗中。对接受经皮冠状动脉介入（PCI）术的急性心肌梗死患者使用IABP辅助治疗，可有效的降低患者的手术风险，确保患者心脏供血正常，改善预后。本文选取2012年4月~2015年10月收治于我院的28例急性心肌梗死并发心源性休克患者作为研究对