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冠心病介入术后并发症的护理 被引量:6

Nursing of postoperative complications of percutaneous coronary intervention in patients with coronary heart disease
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摘要 目的:观察冠心病介入治疗术后的并发症,分析其护理效果。方法:选择2011年9月~2012年8月我院收治的经冠脉介入治疗的冠心病患者200例,对术后并发症进行观察和护理。结果:本组冠心病介入治疗术后的并发症包括前臂血肿26例(13%)、穿刺部位渗血水肿5例(2.5%)、拔管综合征4例(2%)、心律失常2例(1%)、假性动脉瘤2例(1%)等,其中前臂血肿发生率最高,明显高于其他并发症发生率,差异具有显著性(P<0.05);经针对性护理,各并发症均有效好转并恢复正常。结论:对冠心病介入治疗后的患者进行全面且有针对性的护理,可以有效预防患者术后的并发症,促进患者尽快康复。 Objective:To observe the postoperative complications of percutaneous coronary intervention (PCI)in pa-tients With coronary heart disease (CHD)and analyze its nursing methed.Methods:A total of 200 CHD patients un-dergoing PCI in our hospital from Sep 2011 to Aug 2012 Were enrolled.The postoperative complications and thera-peutic effect Were observed and analyzeits nursing methods.Results:There Were 42 cases of PCI postoperative com-plications,included 26 cases (13%)of forearm hematoma,five cases (2.5%)of errhysis and edema at puncture site,four cases (2%)of extubation syndrome,tWo cases (1%)of arrhythmia and tWo cases (1%)of pseudoaneu-rysm etc.,in Which the incidence of forearm hematoma Was the highest,compared With any other complication (P〈0.05 );after direction nursing,all complications significantly improved and recovered to normal.Conclusion:Comprehensive and directive nursing can effectively prevent postoperative complications and promote rehabilitation as soon as possible in patients With coronary heart disease after percutaneous coronary intervention.
作者 李冉
出处 《心血管康复医学杂志》 CAS 2014年第2期213-214,共2页 Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词 冠状动脉疾病 血管成形术 经腔 经皮冠状动脉 手术后并发症 护理 Coronary artery disease Angioplasty,transluminal,percutaneous coronary Postoperative complica-tions Nursing care
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