冠心病介入治疗并发症的护理实践.docVIP

精品论文 参考文献 冠心病介入治疗并发症的护理实践 薛元红 　　湖南省长沙市一医院 410006 　　摘要：目的：观察对冠心病患者进行介入治疗后引发的并发症的护理实践效果。方法：选取2012年1月至2015年1月期间收治的冠心病介入治疗患者80例，随机将其分为观察组和对照组，每组40例，对照组行以常规冠脉介入治疗术护理，观察组行以针对并发症的护理干预。观察两组患者并发症（皮下血肿、术后出血、血管迷走神经反射、上肢肿痛、腹胀）的发生情况，采用抑郁自评量表、焦虑自评量表对术后抑郁焦虑进行评定。结果：观察组患者皮下血肿1例，术后出血1例，血管迷走神经反射2例，上肢肿痛1例，腹胀1例，共发生6例，并发症发生率为15%；对照组患者皮下血肿2例，术后出血4例，血管迷走神经反射3例，上肢肿痛2例，腹胀1例，共发生12例，并发症发生率为30%。对照组的并发症发生率高于观察组，差异有统计学意义（P＜0.05）。观察组术后焦虑抑郁情绪评分均低于对照组，差异具有统计学意义（P＜0.05）。结论：冠脉介入术后并发症护理干预可减少冠心病介入术后并发症的发生，可改善患者不良情绪，提高护理效果。 　　关键词：护理；介入治疗；冠心病 　　【 abstract 】 objective：to observe the intervention therapy in patients with coronary heart disease caused by complications after nursing practice effect.Selection methods：between January 2012 and January 2015 admitted during the period of interventional treatment of 80 cases of patients with coronary heart disease，its randomly divided into observation group and control group，40 cases in each group，the control line with conventional coronary artery intervention treatment of perioperative nursing，observation group against complications nursing intervention.Observe two groups of patients with complications（subcutaneous hematoma，postoperative bleeding，vasovagal reflex，upper limb swelling pain，abdominal distension）is happening，by the self-assessment lists of depression，anxiety postoperative depression self rating scale for anxiety were assessed.Results：the observation group of patients with subcutaneous hematoma in 1 case，postoperative bleeding in 1 case，vasovagal reflex in 2 cases，upper limb swelling in 1 case，abdominal distension in 1 case，a total of 6 cases，the incidence of complications was 15%.Control group patients with subcutaneous hematoma in 2 cases，4 cases of postoperative bleeding，vasovagal reflex（3 cases），upper limb swelling in 2 cases，abdominal distension in 1 case，a total of 12 cases，the incidence of complications was 30%.The control of complication rates higher than the observation group，the difference was statistically significant（P lt; 0.05）.Postopera