护理干预在心脏介入术后低心排综合征中的应用效果.docVIP

护理干预在心脏介入术后低心排综合征中的应用效果 　　[摘要] 目的 护理干预在心脏介入术后低心排综合征中的应用效果。 方法 选择患者80例，分为两组，各40例。观察组采用本研究干预方法，对照组则实施常规护理。比较两组患者的并发症发生情况及治疗后的焦虑自评量表评分及住院时间。 结果 观察组发生穿刺点渗血、充血性肺水肿和术后排便困难的比率及焦虑自评量表得分均显著低于对照组，住院时间显著短于对照组（P0.05）。 结论 护理干预可有效减少心脏介入手术后发生低心排综合征患者穿刺点渗血、充血性肺水肿和术后排便困难等并发症的发生，减轻患者的焦虑，缩短住院时间。 　　[关键词] 心脏介入；术后；低心排综合征；护理 　　[中图分类号] R473.6[文献标识码] B[文章编号] 1674-4721（2014）06（b）-0133-03 　　 　　Application effect of nursing intervention for cardiac interventional postoperative low cardiac output syndrome 　　GAO Hong-xia 　　Gadre Ward,the First People′s Hospital of Shenyang City,Shenyang 110041,China 　　[Abstract] Objective To investigate the application effect of nursing intervention for cardiac interventional postoperative low cardiac output syndrome. Methods 80 cases were divided into the two groups,there were 40 cases in each group,the observation were used the nursing intervention in this study,the control group were used the routine nursing.The complications,self-rating anxiety scale score after treatment and hospitalization time were compared in the two groups. Results The ratio of puncture site bleeding,pulmonary edema and difficult defecation after operation,and self-rating anxiety scale score in the observation group were obviously lower than those in the control group,hospital stay in the observation group was shorter than that in the control group (P0.05). Conclusion Nursing intervention can effectively reduce the occurrence of complications,such as puncture site bleeding,pulmonary edema and difficult defecation after operation and so on,and can reduce patients′ anxiety and shorten hospital stay. 　　[Key words] Cardiac Intervention;Surgery;Low Cardiac Output Syndrome;Nursing 　　决定心脏介入手术成功有几大影响因素[1]：首先是要有高超的手术操作技术，其次是术者与助手及护理人员之间的相互默契配合，还有术前对患者进行良好的心理护理，提高患者对治疗的信心和依从性。低心排综合征是成人心脏介入术后常见的并发症之一[2]，当药物治疗无效时，通常需要接受机械辅助循环。主动脉内球囊反搏通过增加心肌供氧、降低心脏负荷来改善患者的血流动力学状况，其对冠心病术后的辅助疗效确切，但对于心脏功能重度衰竭患者的治疗效果不佳[3]。体外膜肺氧合通过动-静脉（V-A）辅助的血流灌注可达心排血量的75%，使病变的心脏得到充分休息[4]。对于重度心功能不全的患者，往往需要结合两者的优点联合应用，同时也加大