急性心肌梗死患者行经桡动脉穿刺冠状动脉介入诊疗术的临床护理  

Clinical nursing of acute myocardial infarction patients with radial artery puncture coronary artery interventional therapy

作　　者：严芳琴 秦昌友[1] 

机构地区：[1]湖北省鄂州市中心医院急诊科,湖北鄂州436000

出　　处：《实用临床医药杂志》2017年第14期5-7,11,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探究对急性心肌梗死患者进行经桡动脉穿刺冠脉介入诊疗术治疗过程中的临床护理情况。方法选取本院进行确诊的急性心肌梗死患者90例,进行经桡动脉穿刺冠脉介入诊疗术治疗。随访3个月后,观察患者的临床疗效和不良反应发生情况,并总结治疗和护理经验。结果 90例心肌梗死患者中,临床症状痊愈65例(72.2%),有效11例(12.2%),无效14例(15.6%),总体治疗有效率为84.4%。治疗过程中出现5例(5.6%)并发症患者,并发症包括局部轻微血肿、桡动脉闭塞等。出院后跟踪随访1年后,患者的并发症发生情况有所改善,症状改善情况较出院时亦有所好转。结论经桡动脉穿刺冠脉介入诊疗术治疗急性心肌梗死具有较好的治疗效果,临床护理亦可提高临床治疗有效率,值得临床借鉴。Objective To observe clinical nursing for patients with acute myocardial infarction treated by radial artery puncture coronary artery interventional therapy. Methods A total of 90 confirmed patients with acute myocardial infarction in our hospital treated with radial artery puncture coronary artery interventional therapy were selected as research objects. After 3 months of follow-up, the adverse effect and clinical therapeutic effect were observed, and experiences of therapy and nursing summed up. Results Out of 90 patients, there were 65 cured patients, 11 effective patients, and 14 unimproved patients. And there were 5 patients with complications including mild local hematoma, radical artery occlusion, and so on. After 1 year follow-up, the complication was alleviated, and the clinical symptoms was better than at discharge. Conclusion The radial artery puncture coronary artery interventional therapy has a good therapeutic effect on acute myocardial infarction, and appropriate effective nursing can improve the therapeutic effect and deserves promotion in clinic.

关 键 词：急性心肌梗死 桡动脉穿刺 冠脉介入诊疗 临床护理 

分 类 号：R472.2[医药卫生—急诊医学]