100例急性心肌梗死并发心源性休克的监测及前位护理干预  

Monitoring of 100 acute myocardial infarctions complicated with cardiogenic shock and predictive nursing intervention

作　　者：杨丽 商克勇 张艳芹 于英 田颖 

机构地区：[1]河北省乐亭县医院心血管内科,河北乐亭063600 [2]河北省乐亭县医院护理部,河北乐亭063600 [3]河北省乐亭县医院神经内科,河北乐亭063600

出　　处：《实用临床医药杂志》2015年第6期7-9,共3页Journal of Clinical Medicine in Practice

摘　　要：目的研究在急性心肌梗死并发心源性休克患者中开展前位护理对其生命监测数据的影响。方法将100例急性心肌梗死并发心源性休克患者按随机数字表法均分为观察组与对照组,观察组行前位护理干预,对照组行心脏监护常规护理。实时监测2组血压、心率、尿量、左室射血分数(LVEF)、左心室舒张末容积(LVEDV)、左心室收缩末容积(LVESV),并绘制LVEF折线图,以评价生命监测数据的改变,同时统计不良事件发生率,以评价治疗及护理效果。结果 2组患者治疗后生命监测数据均有显著改善,且观察组治疗后指标显著优于对照组,LVEF折线图亦可反映观察组CCU护理2 h数据即占显著性优势;观察组不良事件出现率显著低于对照组,差异有统计学意义(P<0.05)。结论前位护理干预可显著提升心肌梗死并发心源性休克患者的治疗效果,对改善其生命监测数据具有积极意义。Objective To explore the effect of predictive nursing on monitoring data of acute myocardial infarction complicated with cardiac shock patients. Methods A total of 100 patients with acute myocardial infarction complicated with cardiac shock were divided into observation group and control group according to random number table method. The observation group was conducted with predictive nursing while the control applied routine nursing. The blood pressure,heart rate,urine volume,left ventricular ejection fraction（ LVEF）,left ventricular end-diastolic volume（ LVEDV）,left ventricular systolic volume（ LVESV） were monitored in the two groups. And LVEF line chart was drew in order to evaluate the change of the monitoring data of life. Meanwhile,the incidence of adverse events was analyzed in order to evaluate the efficacy of the treatment and nursing. Result The life monitoring data of two groups after treatment were significantly improved,and the observation group indicators after treatment were significantly better than that in the control group. LVEF line chart can reflect that the data of 2 hours in observation group after CCU nursing was predominant. The adverse events rate in the observation group was significantly lower than that in the control group,the difference was statistically significant（ P 0. 05）. Conclusion Predictive nursing intervention can significantly improve treatment effect of acute myocardial infarctions complicated with cardiogenic shock and it is of great significant in improving life monitoring data of patients with myocardial infarction complicated with cardiac shock.

关 键 词：急性心肌梗死 心源性休克 前位护理 生命监测 

分 类 号：R472.2[医药卫生—急诊医学]