Title：Effect of comprehensive rehabilitation nursing on hemodynamics of patients with severe acute myocardial infarction after PCI
作者：陈欣
关键词：综合康复护理,重症急性心肌梗死,经皮冠状动脉介入,血流动力学
论文类型：期刊论文
论文来源：慢性病学杂志 2019
摘要：目的探讨综合康复护理对急诊经皮冠状动脉介入治疗（PCI）后严重急性心肌梗死（AMI）患者血流动力学的影响，为临床治疗提供参考。方法将2017年1月至2019年6月收治的138例重症急性心肌梗死患者随机分为对照组（67例）和观察组（71例）。对照组给予常规护理，观察组给予综合康复护理。观察两组护理前后左室射血分数（LVEF）、左室舒张末内径（LVEDd）、心输出量（CO）、平均动脉压（map）、心率、舒张压和收缩压的变化。结果护理前两组lved、lved、CO、map无显著性差异（P>0.05），护理后观察组lved、map低于护理前及同期对照组，观察组LVEF、Co水平高于护理前及同期对照组，差异有统计学意义（P<；0.05）。护理前两组心率、舒张压、收缩压无显著性差异（P>0.05）；护理后观察组心率、舒张压、收缩压水低于护理前对照组，差异有统计学意义（P>0.05）有统计学意义（P<；0.05）。观察组总并发症发生率为2.82%，低于对照组。。。
Abstract：Objective to explore the effect of comprehensive rehabilitation nursing on hemodynamics of patients with severe acute myocardial infarction (AMI) after emergency percutaneous coronary intervention (PCI), so as to provide reference for clinical treatment. Methods 138 patients with severe acute myocardial infarction admitted to Fujian lijinshan hospital from January 2017 to June 2019 were randomly divided into control group (67 cases) and observation group (71 cases). The control group was given routine nursing and the observation group was given comprehensive rehabilitation nursing. Before and after nursing, the left ventricular ejection fraction (LVEF), left ventricular end diastolic diameter (LVEDd), cardiac output (CO), mean arterial pressure (map), heart rate, diastolic pressure and systolic pressure were measured and compared between the two groups. Results before nursing, there was no significant difference in lved, lved, CO and map between the two groups (P & gt; 0.05); after nursing, the level of lved and map in the observation group was lower than that in the pre nursing and the same period control group, and the level of LVEF and Co in the observation group was higher than that in the pre nursing and the same period control group, the difference was statistically significant (P & lt; 0.05). Before nursing, there was no significant difference in heart rate, diastolic pressure and systolic pressure between the two groups (P & gt; 0.05); after nursing, the heart rate, diastolic pressure and systolic pressure water in the observation group were lower than those in the control group before nursing and at the same time, the difference was statistically significant (P & lt; 0.05). The total incidence of complications in the observation group was 2.82%, lower than that in the control group (23.88%) (P & lt; 0.05). Conclusion comprehensive rehabilitation nursing for AMI patients after PCI can improve hemodynamic indexes such as cardiac output, reduce map, and reduce the incidence of postoperative complications.
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标签：综合康复护理论文; 重症急性心肌梗死论文; 经皮冠状动脉介入论文; 血流动力学论文;