浅析低分子肝素治疗急性冠状动脉综合症的护理观察.docVIP

精品论文 参考文献 浅析低分子肝素治疗急性冠状动脉综合症的护理观察 大庆油田总医院 163000 【摘 要】目的 研究分析低分子肝素用于治疗急性冠状动脉综合症的疗效以及护理方法及体会。方法 此次研究的对象是选择急性冠状动脉综合症患者82例，将其临床资料进行回顾性分析，并随机均分为治疗组和对照组，治疗组患者予以低分子肝素治疗，对照组采用普通肝素治疗。对比分析两组疗效并总结护理经验。结果治疗组的治疗显效率及治总有效率显著高于对照组，不良反应率显著低于对照组，P均lt;0.05；两组心电图变化差异无统计学意义，Pgt;0.05。结论低分子肝素用于治疗急性冠状动脉综合症安全有效，并发症少，操作简便，治疗过程中施以有效的用药护理、饮食护理以及心理护理等综合护理措施，可促进患者的康复。 【关键词】急性冠状动脉综合症；低分子肝素；护理 [Abstract] Objective To study the effect of low molecular weight heparin in the treatment of acute coronary syndrome and its nursing methods and experience. Methods the study object is 82 cases of patients with acute coronary syndrome，the clinical data were retrospective analysis，and randomly divided into the treatment group and the control group，patients in the treatment group were to be low molecular weight heparin in the treatment，the patients in control group were treated with unfractionated heparin. Comparative analysis of two groups of curative effect and summarize the nursing experience. Results in the treatment group，the effective rate and total effective rate were significantly higher than that of the control group，the adverse reaction rate was significantly lower than that of the control group，lt;0.05 was P；the changes of ECG in the two groups were not statistically significant，Pgt;0.05. Conclusion low molecular weight heparin for safe and effective in the treatment of acute coronary syndrome，less complications，simple operation，treatment with effective medication nursing，diet nursing and psychological nursing comprehensive nursing measures，promote the patients recovery. [Key words] acute coronary syndrome；low molecular weight heparin；nursing 急性冠状动脉综合症（ACS）是常见临床综合征，其病理基础是冠状动脉硬化、动脉呈不同程度的斑块破出血继发完全或者不完全的闭塞性血栓、诱发血管痉挛等[1]。 本研究对ACS予以低分子肝素治疗，取得了满意的效果，现总结报道如下： 1资料与方法 1.1一般资料选取2012年3月至2013年3月期间入院的ACS患者共82例，其中，男43例，女39例；年龄在45-82岁之间，平均为（69.3plusmn;6.1）岁。诊断均符合WHO标准，排除出血及凝血患者，均自愿参与本研究并能够配合医护工作和随访。患者随机分为治疗组和对照组，各41例，两组一般资料无显著差异（Pgt;0.05）。 1.2方法 1.2.1治疗方法两组常规进行抗血栓