急诊冠状动脉介入治疗术后危险分层护理管理  

Risk stratification based nursing management post emergenct percutaneous coronary intervention

作　　者：马玲玲[1] 马燕兰[1] 亢君[1] 侯春霞[1] 令蓉[1] 

机构地区：[1]解放军总医院第一附属医院心内科,北京100048

出　　处：《中国美容医学》2012年第10X期473-474,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨急性心肌梗死(AMI)急诊经皮冠状动脉介入治疗(PCI)术后的护理对策。方法:根据AMI急诊PCI术后患者病情危重程度及治疗、护理强度,分为极高危、高危、中危和低危四个等级,实施分层护理。结果:按此危险度分层方案,护士可快速判断病情、实施相应的护理程序。共138例患者,极高危36例、高危21例、中危51例和低危30例。极高危组2例死亡,产生1.5%(2/138)住院病死率;余患者均存活,最终康复出院。结论:此分层护理方法实用性强,有利于改进护理质量。Objective To explore the proper nursing procedure following emergent percutaneous coronary intervention （PCI） for acute myocardial infarction （AMI）. Method The AMI patients were classified into 4 groups based on severity of illness and intensity of treatment and nursing： very high risk, high risk, intermediate risk and low risk. Nursing procedures were carried out according to the above risk stratification. Results Totally 138 patients entered the study. 36 cases were falren into very high risk group, 21 cases into high risk group, 51 cases into intermediate risk group and 30 cases into low risk group. Only two patients within very high risk group died during hospitalization, resulting in mortality by 1.5% （2/138）, the remaining survived, finally recovered and were discharged . Conclusions Our data indicate that our risk stratification-based nursing procedures are very practical, and may facilitate to improve nursing quality.

关 键 词：急性心肌梗死 冠状动脉介入治疗 分层护理 

分 类 号：R541.4[医药卫生—心血管疾病]