新一代光学相干断层成像技术在冠心病介入诊疗中的围术期护理  

Perioperative nursing of new generation optical coherence tomography in diagnosis of percutaneous coronary intervention

作　　者：蒋宏粉[1] 顾婕[1] 许艳玲[1] 孟浩宇[1] 张定国[1] 贾恩志[1] 陈磊磊[1] 王连生[1] 史冬梅[1] JIANG Hongfen;GU Jie;XU Yanling;MENG Haoyu;ZHANG Dingguo;JIA Enzhi;CHEN Leilei;WANG Liansheng;SHI Dongmei(Department o f Cardiovascular Medicine,The First Affiliated Hospital o f Nanjing Medical University,Nanjing,Jiangsu,210029)

机构地区：[1]南京医科大学第一附属医院心血管科,江苏南京210029

出　　处：《实用临床医药杂志》2018年第12期4-7,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨新一代光学相干断层成像术(OCT)应用于冠心病患者的护理方法。方法回顾性分析42例确诊为冠心病且行OCT检查患者的临床资料和护理措施。结果所有患者经OCT检查后,出现冠状动脉痉挛性收缩、冠状动脉慢血流等血管并发症患者为7.1%,经冠状动脉内硝酸甘油治疗后症状显著缓解,其余患者无典型胸痛发作,心电图亦无异常动态变化。所有患者术中均未出现急性心力衰竭、恶性心律失常、冠状动脉夹层等并发症。由于围术期的合理水化和护理配合,患者术后无造影剂肾病。结论新一代冠状动脉内OCT是一种无需阻断血流而能精确判定冠状动脉病变特征的有效手段,围术期护士熟练的配合和严密的护理观察是OCT检查顺利进行的重要因素。Objective To investigate perioperative nursing of new generation optical coherence tomography（ OCT） in the diagnosis of percutaneous coronary intervention（ PCI）. Methods Nursing methods and clinical data of 42 patients who received OCT during PCI were retrospectively summarized. Results After OCT,the incidence rate of blood vessel complications such as coronary artery spasm,slow coronary blood flow were 7. 1%. All the complications were relieved after intracoronary nitroglycerin injection,and no chest pain and ECG changes were observed. No complications such as acute heart failure,malignant arrhythmia,and coronary artery dissection were seen,and no contrast nephropathy after surgery was observed after reasonable hydration and nursing cooperation.Conclusion The new generation OCT can accurately determinate the characteristics of coronary artery lesions without blocking coronary flow,and the skilled coordination and strict observation of perioperative nursing are important factors for OCT examination.

关 键 词：新一代光学相干断层成像 冠心病 冠状动脉痉挛性收缩 冠状动脉慢血流 急性心力衰竭 

分 类 号：R473.5[医药卫生—护理学]