慢性肺心病并发心衰的急诊护理干预 吴杨玲.docVIP

精品论文 参考文献 慢性肺心病并发心衰的急诊护理干预 吴杨玲 吴杨玲 　　厦门大学附属第一医院 361001 　　【摘 要】目的：探讨慢性肺心病并发心衰的急诊护理干预方式。方法：选取我院急诊科2015年3月-2016年3月收治的慢性肺心病患者90例，分为研究组（针对性护理组）与对照组（常规护理组）患者各45例，对比两组患者疗效及护理前后心肺功能改善情况。结果：研究组患者显效、有效、总有效率分别为29例（64.4%）、14（31.1%）、43例（95.6%）明显高于对照组患者的15例（33.3%）、21例（46.7%）、36（80.0%）。差异有统计学意义（Plt;0.05）。护理干预前，两组患者心肺功能指标均无明显差异（Pgt;0.05），护理干预后研究组心肺功能明显较对照组改善，差异有统计学意义（Pgt;0.05）。结论：对慢性肺心病并发心力衰竭患者实行常规护理基础上的针对性护理，能取得更佳的临床疗效，改善患者症状。可在临床工作中推广应用。 　　【关键词】慢性肺心病；心力衰竭；急诊护理 　　[Abstract ]Objective：Discussion emergency nursing interventions in chronic pulmonary heart disease complicated by heart failure.Methods：Our hospital emergency department in March 2015 - March 2016 were treated 90 patients with chronic pulmonary heart disease were divided into study group（special nursing group）and control group（usual care）in patients with 45 cases in each，compared two groups of patients effect and nursing before and after heart and lung function improvement.Results：Study patients were cured，effective，total effective rate was 29 cases（64.4%），respectively，15 cases（33.3%）14（31.1%），43 cases（95.6%）was significantly higher in patients，21 cases（46.7%），36（80.0%）. The difference was statistically significant（P lt;0.05）. Former nursing intervention in patients with heart and lung function indicators of the two groups were not significantly different（Pgt; 0.05），after nursing intervention group than the control group，heart and lung function was improved and the difference was statistically significant（Pgt; 0.05）. 　　Conclusion：The implementation of routine nursing care targeted on the basis of heart failure in patients with chronic pulmonary heart disease，can achieve better clinical efficacy，improve patient symptoms. Could be applied in clinical work. 　　[Keyword] Chronic pulmonary heart disease，heart failure，emergency care 　　慢性肺心病，是临床常见的一种慢性缺氧缺血性肺源性心脏病，因慢性支气管炎或慢性肺部病变因素影响下，导致肺循环阻力升高、肺动脉高压、右心室扩张或肥厚，常伴有右心衰竭[1，2]。此病好发于中老年人群，具有发病急、进展快、并发症多特点，严重威胁患者生命健康[3]。及时有效的护理与治疗是改善预后的重要措施。本研究选取我原急诊科收治的慢性肺心病并发心衰患者80例，以探讨其急诊护理干预方式。现报道如