预见性护理对老年冠心病介入术后并发出血血肿应用效果.docVIP

预见性护理对老年冠心病介入术后并发出血血肿应用效果 　　[摘要] 目的 分析预见性护理对老年冠心病介入术后并发出血、血肿的影响。方法 方便选取2016年1月―2017年6月该院经桡动脉接受PCI术治疗的102例老年冠心病患者为研究对象，随机分为研究组、对照组，各51例，对照组予以常规护理，研究组在接受常规护理的基础上给予预见性护理，比较其临床应用效果。 结果 研究组出血、血肿不良事件的发生率明显（9.80%）低于对照组（27.46%），组间差异有统计学意义（χ2=4.140，P0.05）；研究组患者凝血功能指?恕⑹鹾蟾飨钪副昃?明显优于对照组，组间差异有统计学意义（P0.05）。结论 对老年冠心病患者早期予以预见性护理，能够有效地改善老年冠心病患者介入治疗各项手术指标，提高手术安全性，降低术后出血、血肿发生率，减轻患者痛苦，缩短住院时间，保证患者安全。 　　[关键词] 预见性护理；老年冠心病；介入术；并发出血、血肿 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2017）10（b）-0159-03 　　[Abstract] Objective This paper tries to analyze the effect of predictive nursing on bleeding and hematoma after interventional therapy for elderly patients with coronary heart disease. Methods 102 cases of elderly patients with coronary heart disease underwent transradial PCI from January 2016 to June 2017 in this hospital were convenient selected as the research objects and randomly divided into the study group and the control group， with 51 cases in each group， the control group was given routine nursing， the study group was given predictive nursing care based on routine nursing， the clinical effect was compared. Results The incidence of adverse events including bleeding and hematoma in the study group was 9.80%， significantly lower than the control group of 27.46%. The difference between the two groups was statistically significant （χ2=4.140，P0.05）； the coagulation function and postoperative index in the study group were better than those in the control group， and the difference was significant（P0.05）. Conclusion The predictive nursing care of early senile patients with coronary heart disease can effectively improve the operation indexes of the elderly patients with coronary heart disease， improve surgical safety， reduce the incidence of postoperative bleeding and hematoma， relieve the pain of patients， shorten the hospitalization time， and ensure the safety of patients. 　　[Key words] Predictive nursing care； Elderly coronary heart disease； Intervention therapy； Concurrent bleeding and he