加速康复心脏外科理念在经皮冠状动脉介入治疗术后的护理  

Nursing care of accelerated rehabilitation cardiac surgery concept after percutaneous coronary intervention

作　　者：李黎[1] 申晓芬[1] 杨庆娟 邓建平[1] 倪伟[1] LI Li;SHEN Xiaofen;YANG Qingjuan;DENG Jianping;NI wei(Department of Cardiology,Nanchong Central Hospital,The Second Clinical School of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院第二临床医学院.南充市中心医院心内科,四川南充637000

出　　处：《西部医学》2018年第10期1550-1553,共4页Medical Journal of West China

基　　金：四川省卫生厅科研课题(100335);南充市科技局资助项目(14A0096)

摘　　要：目的探讨加速康复心脏外科(enhanced recovery after cardiac surgery,ERACS)理念在经皮冠状动脉介入治疗术后护理的应用。方法纳入我院心血管内科2016年6月～2017年6月所收治的冠状动脉粥样硬化性心脏病经皮冠状动脉介入治疗术患者382例,210例为常规护理组(对照组),172例为ERACS组(观察组)。对照组应用常规护理方法,观察组在对照组的基础上应用加速康复心脏外科的理念与方法。比较两组患者的心率,血压和体温等指标,以及两组患者的术后下床活动时间和术后住院时间,观察两组的最终临床效果。结果两组患者的一般临床资料比较差异无统计学意义(P>0.05);观察组患者围手术期收缩压、心率和体温情况明显优于对照组,差异均有统计学意义(P<0.05);观察组患者术后下床活动时间和术后住院时间明显优于对照组,差异均有统计学意义(P<0.05)。结论心血管内科经皮冠状动脉介入治疗手术患者围术期护理中应用"加速康复心脏外科(ERACS)"的理念可加快术后康复,减少住院时间,提高患者的满意度。Objective To explore the application of the idea of enhanced recovery after cardiac surgery（ERACS）in postoperative care after percutaneous coronary intervention.Methods 382 patients suffered of coronary atherosclerotic heart disease had been done the operation of percutaneous coronary intervention from June 2016 to June 2017 were divided into control group with usual care and study group with ERACS.The routine clinical nursing methods were applied in the control group.The idea and methods of ERACS based on the methods in the control group were applied in the study group.Heart rate,blood pressure,temperature and so on were compared and analyzed between two groups,and the time of the leaving bed time and hospital stays between two groups were compared.The clinical effect in the end between two groups were observed.Results There were no significant difference in the general clinical datum between the two groups（P〉0.05）.The research showed that systolic pressure,heart rate and temperature of the patients in the study group during the perioperative period were superior to that in the control group,and the difference has statistical significance（P〈0.05）.The time of the leaving bed time and hospital stays in the study group were superior to that in the control group,and the difference has statistical significance（P〈0.05）.Conclusion It＇s feasible and effective to use the idea of ERACS in the patients after percutaneous coronary intervention in the Cardiovascular medicine department in our hospital.The idea of ERACS can enhance recovery after operation,reduce the hospital stays,and increase the patients＇ satisfaction degree.

关 键 词：加速康复外科 冠状动脉粥样硬化性心脏病 经皮冠状动脉介入 

分 类 号：R541.4[医药卫生—心血管疾病]