摘要
目的探讨专题创优护理在急性心梗伴心源性休克急诊PCI手术患者多巴胺安全输液中的应用效果。方法选取该院专题创优护理实施前（2014年1月～2015年6月）和实施后（2015年7月～2016年12月）接受急诊PCI治疗的急性心梗并发心源性休克患者各45例作为研究对象，实施前后急诊手术病例分别设为对照组与观察组，对照组接受多巴胺常规输液管理，观察组接受以提高多巴胺输液安全性为主题的专题创优护理，比较两组干预后各相关观察指标的差异性。结果观察组入选病例干预后静脉炎与脱管等安全事件发生率均显著低于对照组，差异有统计学意义（均P〈0．05），更换多巴胺前后收缩压与舒张压波动值均显著低于对照组，差异有统计学意义（均P〈0．05）。结论针对急性心梗并发心源性休克病例急诊PCI术后的多巴胺输液护理安全问题进行专题创优实践，可显著提高该类患者多巴胺输液用药安全性。
Objective To explore the effect of special care in safe infusion of dopamine in patients with acute myocardial infarction accompanied by cardiogenic shock after emergency PCI surgery. Methods Forty-five patients with acute myocardial infarction complicated with cardiogenic shock received emergency PCI treatment before （from Jan- uary 2014 to June 2015 ） and 45 patinets after the implementation （ from July 2015 to December 2016） of the special ex- Cellent care in the hospital were selected as study objects. The cases of emergency operation before and after the imple- mentation were respectively set as the control group and the observation group. The control group received routine ad- ministration of dopamine infusion, and the observation group received topical excellent care with the theme of improving the safety of dopamine infusion. The differences of related observation indexes after intervention were compared between the two groups. Results The incidence of safe events such as phlebitis and tubulization was significantly lower in the observation group than in the control group, and the difference was statistically significant （P〈0. 05 ）. Systolic and di- astolic blood pressure fluctuations before and after dopamine replacement were significantly lower than those of the con- trol group, and the differences were statistically significant （P〈0. 05 ）. Conclusion To improve the safety of dopamine infusion for patients with acute myocardial infarction complicated with cardiogenic shock after emergency PCI, the spe- cial optimization practice can significantly improve the safety of dopamine infusion in these patients.
作者
李艳敏
Li Yanmin(Cardiovascular ICU,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China)
出处
《国际护理学杂志》
2018年第18期2529-2532,共4页
international journal of nursing
关键词
急性心梗
心源性休克
急诊PCI
优质护理
Acute myocardial infarction
Cardiogenic shock
Emergency PCI
High quality care
