冠心病介入诊疗术后血管并发症的原因及护理对策分析.docVIP

冠心病介入诊疗术后血管并发症的原因及护理对策分析 　　【摘要】 目的：对应用针对性护理模式在冠心病患者在接受介入诊疗术的过程中的临床效果进行研究。方法：将本院收治的84例接受介入诊疗术的冠心病患者随机数字表法分为对照组和观察组，每组42例。对照组采用常规冠心病护理模式，观察组采用针对性护理模式。结果：观察组治疗效果明显优于对照组，术后出现血管并发症的人数明显少于对照组，住院治疗总时间明显短于对照组，冠心病护理服务满意度明显高于对照组，两组比较，差异有统计学意义（P0.05）。结论：在冠心病患者接受介入诊疗术的过程中实施针对性护理模式，临床效果非常明显。 　　【关键词】 针对性护理； 冠心病； 介入诊疗术； 血管并发症 　　【Abstract】 Objective： To analyze the clinical effect of targeted care applied to patients with coronary heart disease during interventional therapy. Method： 84 patients with coronary heart disease received interventional therapy in our hospital were randomly assigned into control group and observation group， with 42 patients in each group. Conventional coronary care was applied to the control group during treatment， and targeted coronary care was applied to the observation group. Result： The treatment to coronary heart disease of observation group was obviously better than that of control group. The number of postoperative vascular complications of observation group was significantly less than that of the control group. The total hospitalization time of observation group was significantly shorter than that of the control group， and coronary care satisfaction was significantly higher than that of control group. Conclusion： Applying targeted care to patients with coronary heart disease during interventional therapy has a significant clinical effect. 　　【Key words】 Targeted care； Coronary heart disease； Interventional therapy； Vascular complications 　　First-author’s address： The Second Peoples Hospital of Jingdezhen， Jingdezhen 333000， China 　　doi：10.3969/j.issn.1674-4985.2014.22.040 　　流行病学调查结果显示，随着人口老龄化的日益加剧，人们生活水平的提高引起的饮食结构的改变，使得冠心病的发病率呈逐年升高的趋势[1]。目前在临床上对于冠心病的治疗已经发展比较成熟，随着临床微创治疗技术的不断发展和更新，介入诊疗术已经成为临床对冠心病进行治疗一种重要技术手段[2]。冠心病介入诊疗术就是指采取心导管技术，对狭窄或者是已经闭塞的冠脉血管展开疏通处理，使心肌血流灌注得到一定程度的改善，从而达到治疗效果。该技术可以对病变血管的程度、性质、位置予以明确，为目前临床治疗冠心病过程中展开血运重建的一种重要手段[3]。值得注意的是，在采取冠心病介入诊疗术实施治疗过程中，经常会因观察不到位、手术操作不当以及围术期用药不合理等引起诸多血管并发症，对临床疗效产生了一定程度的影响，因此科学合理的护理手段在此时显得尤为重要[4]。本次研究对冠心病介