护理干预对冠状动脉支架植入术后拔管致迷走神经反射的效果  

Effects of Nursing Intervention on Vagal Reflex after the Coronary Stent Extubation

作　　者：杨雪梅[1] 游桂英[1] 王雅莉[1] 

机构地区：[1]四川大学华西医院心脏内科,成都610041

出　　处：《华西医学》2011年第11期1696-1698,共3页West China Medical Journal

摘　　要：目的探讨降低冠状动脉支架植入术后拔管所致血管迷走神经反射(vasovagal reflexs,VVR)的护理干预措施及效果。方法将2011年1 3月冠状动脉支架植入患者120例随机分为两组,对照组58例,试验组62例,对照组按常规方法拔管,试验组除常规方法外根据患者不同情况予针对性护理干预。结果 120例患者中共发生VVRs 10例,其中对照组发生8例,试验组发生2例。两组比较差异有统计学意义(P<0.05)。结论冠状动脉支架植入手术患者实施针对性的护理干预可有效降低血管迷走神经反射的发生,提高手术成功率。Objective To investigate the nursing intervention measures and effects on reducing the vasovagal reflexs（VVRs） after the coronary stent extubation.Methods The clinical data of 120 patients who underwent coronary stenting between January and March 2011 were retrospectively analyzed.Patients were randomly divided into control group（n=58） treated with conventional coronary stent extubation and experiment group（n=62） treated with conventional coronary stent extubation and professional nursing intervention care.Results In 120 patients,VVRs occurred in 10 including 8 in the control group and 2 in the experiment group.The difference between the two groups was significant（P0.05）.Conclusion The coronary stent implantation with specific nursing interventions can effectively reduce the vascular vagal reflex,and leads to a higher success rate of the surgery.

关 键 词：护理干预 支架植入术后拔管 迷走神经反射 

分 类 号：R473.5[医药卫生—护理学]