急性心肌梗死患者溶栓治疗的临床观察及护理体会.docVIP

精品论文 参考文献 急性心肌梗死患者溶栓治疗的临床观察及护理体会 徐州医学院附属徐州市立医院（221002）李树荣 　　[摘要]: 目的 探讨急性心肌梗死患者发病后在采取静脉溶栓治疗和常规护理的临床效果的差异，总结护理经验。方法 回顾性分析我院2012年1月至2014年12月期间我院收治的76例急性心肌梗死患者的临床资料，对照组36例，给予临床常规治疗措施；观察组40例，在常规治疗基础上加用静脉溶栓，记录两组的临床疗效并总结护理对策。结果 两组急性心肌梗死患者经不同方法治疗后，观察组再灌注成功率为86.1％，对照组再灌注成功率为52.5％，两组冠脉再通率差异有统计学意义（P＜0.05）。两组并发症的发生率差异没有统计学意义。结论 对急性心肌梗死患者进行早期溶栓，能提高冠状动脉再通率，改善预后，降低致残率和病死率，正确的护理是确保溶栓治疗安全的重要保证。 　　[关键词]：急性心肌梗死；溶栓治疗；护理措施 　　[Abstract] Objective： To compare the effect of thrombolytic therapy on acute myocardial patients and routing clinical treatment after the onset of heart attack symptoms．Methods ： The clinical data in 70 patients from the January of 2012 to December of 2014 with acute myocardial infarction treated in our hospital were collected and analysed retrospectively．The cases were divided into two groups. The control group with 35 cases were received routine clinical treatment; the study group with 35 cases were on the basis of conventional therapy plus intravenous thrombolysis. Clinical efficacy in patients with acute myocardial infarction and summary care of the two measures were recorded. Results： After acute myocardial infarction treated with different method，success rate of study group of reperfusion was 86.1% , control group， reperfusion was 52.5%. So, between two groups, P lt;0.05 is suggestive of a statistically significant result with the success rate of reperfusion. While the difference of the two groups with the incidence of complications was not statistically significant(Pgt;0.05). Conclusion： Early thrombolysis for acute myocardial infarction can improve the coronary arterial recanalization rate and the prognosis , help to reduce morbidity and mortality. Correct nursing care is an important guarantee to ensure the safety of thrombolytic therapy， 　　[Key words]：acute myocardial infarction；thrombolytic therapy；care measures 　　急性心肌梗死是冠状动脉急性、持续性缺血缺氧所引起的心肌坏死，对急性心肌梗死(AMI)进行溶栓治疗，可使阻塞的冠状动脉再通，从而挽救濒死的心肌，缩小梗死范围，改善心肌功能，降低病死率。接受溶栓治疗的急性心肌梗死患者的心电图会有所好转，疼痛的症状也会缓解或消失，心功能逐渐恢复，心肌