抽吸导管在急性血栓性病变中的应用及护理  

Application and nursing of suction catheter in acute thrombotic diseases

作　　者：李娜[1] 

机构地区：[1]安徽省皖北煤电集团总医院心内科,安徽宿州234000

出　　处：《实用临床医药杂志》2018年第4期5-8,共4页Journal of Clinical Medicine in Practice

基　　金：蚌埠医学院科研课题(Byky1266NF)

摘　　要：目的探讨抽吸导管在急性血栓性病变中的应用效果及护理方法。方法选取40例采用PCI联合血栓抽吸导管治疗的急性心肌梗死(AMI)患者作为观察组,另选取同期采用PCI治疗的AMI患者作为对照组,比较2组TIMI血流分级、ST段回落、无复流现象、心功能改善情况及心血管时间的发生率。结果观察组TIMI血流2、3级的比例高于对照组,ST段回落率高于对照组,无复流率低于对照组,差异均有统计学意义(P<0.05);观察组院期间及随访6个月时的心血管不良事件的发生率低于对照组(P<0.05);观察组复查时左心室射血分数(LVEF)大于对照组,LVEDd、LVESd小于对照组(P<0.05)。结论抽吸导管能改善PCI治疗AMI的血流分级,减少无复流和心血管事件的发生,围术期应做好护理配合工作。Objective To investigate the application effect and nursing of suction catheter in acute thrombotic diseases. Methods A total of 40 AMI patients treated by PCI in combined with thrombus aspiration catheter in our department were selected as observation group. And AMI patients treated by PCI in the same period were selected as control group. The TIMI blood flow classification,ST segment fall,no reflow phenomenon,improvement of cardiac function and the incidence of cardiovascular time were compared between the two groups. Results The proportion of TIMI blood flow in2 and 3 grades in the observation group was larger,the drop rate of ST segment was higher than that in the control group,and the no reflow rate was lower than that in the control group( P < 0. 05). The incidence rates of cardiovascular adverse events in the observation group during hospital stay and at 6 months of follow-up were lower than that in the control group( P < 0. 05). The LVEF in the observation group was larger,and the LVEDd and LVESd was less than that in the control group at the time point of recheck( P < 0. 05). Conclusion The aspiration catheter can improve the blood flow classification of AMI patients treated by PCI,reduce the occurrence of no reflow and cardiovascular events,so nursing coordination during the perioperation should be focused on.

关 键 词：抽吸导管 经皮冠状动脉介入 急性心肌梗死 血流分级 无复流 护理 心肌灌注 

分 类 号：R473.5[医药卫生—护理学]