常规用药治疗慢性肺源性心脏病急性加重期CCU患者临床护理分析.docVIP

常规用药治疗慢性肺源性心脏病急性加重期CCU患者临床护理分析 　　【摘要】 目的 探究常规用药治疗慢性肺源性心脏病急性加重期冠心病重症监护病房（CCU）患者临床护理的有效方式。方法 112例慢性肺源性心脏病急性加重期患者， 随机分为对照组和实验组， 每组56例。对照组采用常规护理， 实验组在常规护理基础上采用综合护理， 对比两组患者的护理效果。结果 实验组护理总有效率为92.9%， 明显高于对照组的60.7%， 差异具有统计学意义（P0.05）；实验组并发生发生率为3.6%（2/56）， 低于对照组的26.8%（15/56）， 差异具有统计学意义（P0.05）；实验组护理满意度为91.1%， 明显高于对照组的60.7%， 差异具有统计学意义（P0.05）。结论 对慢性肺源性心脏病急性加重期患者采取综合性护理， 在提高护理效率、降低并发症发生率、提高护理满意度方面意义重大， 应在临床上大力推广。 　　【关键词】 慢性肺源性心脏病；急性加重期；临床护理 　　DOI：10.14163/j.cnki.11-5547/r.2016.32.074 　　【Abstract】 Objective To investigate effective measures in conventional drug therapy for coronary care unit （CCU） patients with acute exacerbation of chronic pulmonary heart disease. Methods A total of 112 patients with acute exacerbation of chronic pulmonary heart disease were randomly divided into control group and experimental group， with 56 cases in each group. The control group received conventional nursing， and the experimental group received comprehensive nursing in addition to conventional nursing. Nursing effects were compared between the two groups. Results The experimental group had total effective rate as 92.9%， which was much higher than 60.7% in the control group， and the difference had statistical significance （P0.05）. The experimental group had lower incidence of complications as 3.6% （2/56） than 26.8% （15/56） in the control group， and the difference had statistical significance （P0.05）. The experimental group had obviously higher nursing satisfaction rate as 91.1% than 60.7% in the control group， and the difference had statistical significance （P0.05）. Conclusion Implement of comprehensive nursing for patients with acute exacerbation of chronic pulmonary heart disease contains important significance in improving nursing efficiency， reducing incidence of complications and increasing nursing satisfaction rate. It is worth widely clinical promotion. 　　【Key words】 Chronic pulmonary heart disease； Acute exacerbation； Clinical nursing 　　肺源性心?K病是由于肺、胸廓或肺动脉血管慢性病变所致的肺循环阻力增加、肺动脉高压， 进而使