永久性心脏起搏器安置术后囊袋感染与出血的护理  

Nursing of Capsule Infection and Hemorrhage after Permanent Pacemaker Implantation

作　　者：金惠仙 

机构地区：[1]浙江省金华市中心医院介入中心,321000

出　　处：《中国全科医学》2017年第A01期205-207,共3页Chinese General Practice

摘　　要：目的总结永久性心脏起搏器安置术后囊袋感染与出血的护理要点,为临床护理工作寻找依据。方法选择金华市中心医院2012—2016年间行永久性心脏起搏器安置术的患者50例为研究对象,对患者的临床资料进行回顾性分析,探究引发患者感染的相关性因素,并提出相应的护理措施。结果本组50例患者经对症处理后,创口均完全愈合,愈合时间12~18 d,平均(15.3±1.2)d;创口灌注时间4~10 d,平均(7.1±2.2)d;抗生素使用时间7~13 d,平均(10.9±1.8)d。患者治疗后的焦虑自评量表(SAS)评分与抑郁自评量表(SDS)评分低于治疗前,差异有统计学意义(P<0.001)。结论引发患者术后感染的相关因素包括自身因素、手术操作、囊袋大小、血管慢性渗血。在给予患者对症护理后,患者均痊愈,且并未出现发热、疼痛和囊袋部位肿胀的现象。Objective To summarize the nursing points of capsule infection and hemorrhage after permanent pacemaker implantation,and to look for the basis for clinical nursing. Methods The research object was 50 cases of patients with permanent pacemaker implantation in Jinhua Central Hospital during 2012—2016; retrospective analysis was performed on clinical data; related factors which caused infections in patients were explored and corresponding nursing measures were discussed. Results After symptomatic treatment,incisions of 50 patients in this group were healed completely with a healing time of 12-18 d,the average was( 15. 3 ± 1. 2) d; the incision perfusion time was 4-10 d with an average of( 7. 1 ± 2. 2) d,the usage time of antibiotic was 7-13 d,the average was( 10. 9 ± 1. 8) d. After treatment,the self-rating depression scale( SAS) score and Self-rating depression scale( SDS) score of patients were significantly lower than those before treatment,the difference had statistical significance( P < 0. 001). Conclusion Related factors of postoperative infections were self factors,surgical procedures,size of capsule and chronic infiltration of blood vessels. After symptomatic nursing,all patients were cured without fever,pain and capsule tympanites.

关 键 词：心脏起搏 人工 手术后并发症 出血 护理 

分 类 号：R541[医药卫生—心血管疾病]