体外膜肺氧合联合主动脉内球囊反搏应用于冠心病的护理分析  

The care applying analysis of ECMO combined aortic balloon counterpulsation to the coronary heart disease patients

作　　者：董艳丽[1] 王培宁[2] 

机构地区：[1]哈尔滨医科大学附属第一医院心血管内科,黑龙江省哈尔滨市150081 [2]广东省心血管病研究所

出　　处：《中国心血管病研究》2016年第10期952-956,共5页Chinese Journal of Cardiovascular Research

基　　金：广东省课题（项目编号：A2014063）

摘　　要：目的 探讨体外膜肺氧合联合主动脉内球囊反搏应用于冠心病的护理健康教育方法与效果.方法 本研究研究对象为我院2012年8月到2015年2月诊治的102例冠心病患者,采用随机抽签法分为对照组和观察组,每组51例.所有患者都给予体外膜肺氧合联合主动脉内球囊反搏治疗.对照组在治疗后采用常规护理,观察组在此基础上给予积极的康复运动及健康教育管理.两组的护理观察周期为3个月.结果 所有患者都完成治疗及护理.护理后观察组及对照组的SV和CO值都明显高于护理前（P＜0.05）,同时护理后观察组的SV和CO值明显高于对照组（P＜0.05）.护理后观察组的症状管理[（8.14±1.22）分]、情绪控制[（7.56±1.33）分]、角色功能[（7.48±1.45）分]及与医生沟通[（7.39±1.24）分]评分都明显高于对照组[（7.09±1.22）分、（6.76±1.68）分、（6.67±1.73）分和（6.20±1.85）分]（P＜0.05）;护理后观察组的冠心病基本概念、危险因素、诱发因素、临床表现等知识评分都明显高于对照组（P＜0.05）.观察组护理期间的亚急性支架内血栓形成、急性肾功能衰竭、肺动脉栓塞、多脏器功能衰竭等并发症发生明显少于对照组（P＜0.05）.结论 康复运动与健康教育管理应用于体外膜肺氧合联合主动脉内球囊反搏治疗冠心病过程中,能提高患者的自我效能,从而促进患者心功能的改善,减少并发症的发生,有很好的应用价值.Objective To investigate the care applying ways and effects of ECMO combined aortic balloon counterpulsation to the coronary heart disease patients. Methods From August 2012 to February 2015 in our hospital, 102 coronary heart disease patients were selected and were equally divided into observation group and the control group of 51 patients according to the random draw principle. All patients were given ECMO combined aortic balloon counterpulsation therapy, after treatment the control group were given the conventional care, the observation group were given the actively rehabilitation exercise and health education management. The care observation period was three months. Results All patients were completed treatment and care, the SV and CO values after care in the two groups were significantly higher than before care（P〈0.05 ）, while the SV and CO values after care in the observation group were significantly higher （P〈0.05）. The symptom management, emotional control, role function and communicate with doctors scores in the observation group （8.14±1.22）points, （7.56±1.33）points, （7.48± 1.45 ）points and （ 7.39± 1.24）points after care were significantly higher than the control group （ 7.09± 1.22 ） points, （6.76±1.68）points, （6.67 ±1.73 ）points and （6.20±1.85）points （P〈0.05）. The basic concept of coronary heart disease, risk factors, predisposing factors, clinical presentation and other knowledge scores were also significantly higher （P〈0.05）. The subacute stent thrombosis, acute renal failure, pulmonary embolism, multiple organ failure and other complications in the observation group during care were significantly less than the control group （P〈0.05）. Conclusion The rehabilitation exercise and health education management in the ECMO combined aortic balloon counterpulsation therapy of coronary heart disease can improve the knowledge scores with coronary heart disease and self-efficacy, thereby is benefit for improving cardiac function and reduce comp

关 键 词：康复运动 健康教育 体外膜肺氧合 主动脉内球囊反搏 冠状动脉疾病 

分 类 号：R541.4[医药卫生—心血管疾病]