急性心肌梗死早期病人心肌耗氧量影响因素的分析  

Analysis of the effects factors for patients with forepart acute myocardial infarction patients

作　　者：席祖洋[1] 李长贞[1] 陈勇[1] 李稳慧[1] 丁家望[1] 

机构地区：[1]三峡大学第一临床医学院湖北省宜昌市中心人民医院心内科,湖北宜昌443003

出　　处：《护士进修杂志》2005年第9期786-787,共2页Journal of Nurses Training

摘　　要：目的分析急性心肌梗死早期病人心肌耗氧量影响因素.方法对42例AMI病人于入院1～7 d进行动态监测,记录病人安静时、活动时的心率、血压及心率、血压变动较大时病人的状态,计算D-P(心率与收缩压二项乘积,用以表示心肌耗氧量).结果在排便、进食、探视及做治疗时病人D-P值增大.结论对急性心肌梗死早期病人加强健康教育及病情监测尤为重要,只有有效控制心肌耗氧量增加的因素,才能减轻心脏负荷,使病人早日康复.Objective To analyze the effects factors on myocardial oxygen consumption （MVO2） for patients with acute myocardial infarction （AMI） in the early stage. Methods 42 patients with AMI during the 1-7 days of hospitalization were surveyed, the results of electro cardiogram, blood pressure, heart rate and the state of the patients with obvious variation of the blood pressure were measures while at rest and activity. Result of dounle-product （D—P） was calculated using the formula： D—P= SBP × HR. Results D—P were increased after defecating, eating, visiting, accepting treatment. Conclusion Heath education and close observation were especially important for the patients with AMI in the early stage, only the effective control of factors contributing to the increase of MVO2 could decrease cardiac load and promote the patient＇s early recovery.

关 键 词：心肌梗死早期 心肌耗氧量 护理 

分 类 号：R473.5[医药卫生—护理学] R542.22[医药卫生—临床医学]