摘要
目的探讨心脏标志物的临床变化，及其指导护理急性冠状动脉综合征（ACS）患者的作用效果。方法将心血管内科和CCU的ACS患者100例随机分为观察组和对照组各50例。对照组接受常规护理，观察组在常规护理组的基础上结合心脏标志物的阳性结果，对患者进行干预。比较2组患者B型钠尿肽、肌红蛋白、肌酸激酶同工酶、心肌钙蛋白I、心电图正常、心力衰竭、心源性休克等指标的变化情况，并比较2组患者及家属对护理人员的评价。结果B型钠尿肽、肌红蛋白、肌酸激酶同工酶、心肌钙蛋白I、心电图正常、心力衰竭、心源性休克等指标比较观察组显著优于对照组，观察组患者及家属对护理人员有较满意的评价。结论心脏标志物的检测不仅对ACS的诊断、危险分层和预后判断有重要意义，而且对指导护理ACS患者有着重要的作用，提高了护士对危险因素的识别能力，及时采取有效的措施，减少并发症，降低死亡率，提高患者与家属的满意度。
Objective To investigate changes in cardiac markers and its effect on instructing nursing of patients with acute coronary syndrome（ACS）. Methods 100 ACS patients from cardiology department and CCU were randomly divided into the observation group and the control group. The control group was given routine care, the observation group was given intervention according to positive results of cardiac markers.Some indexes such as B-type natriuretic peptide, myoglobin, creatine kinase isoenzyme, cardiac troponin I, and EKG, congestive heart failure and eardiogenic shock as well as appraisal of patients and relatives to nurses were compared between the two groups. Results The observation group was better than the control group in subsequent indicators： B-type natriuretic peptide, myoglobin, creatine kinase isoenzyme, cardiac troponin I, EKG, congestive heart failure and cardiogenic shock, and appraisal of patients and relatives to nurses was also better than the control group. Conclusions Detection of cardiac markers not only has significance for diagnosis, risk stratification and prognosis of ACS, but also help to instruct nursing of ACS patients. It has an important role in raising the nurses ability to identify risk factors and take effective measures to reduce complications and mortality, improve satisfaction degree of patients and their family members.
出处
《中国实用护理杂志》
北大核心
2010年第5期19-21,共3页
Chinese Journal of Practical Nursing
