6例无导线起搏器植入患者的护理  

Nursing for 6 patients receiving wireless pacemaker implantation

作　　者：周建军[1] 郭成军[1] 马克娟[1] 张惠芳[1] 闫石芳 王小静 岳美丽 Zhou Jianjun;Guo Chengjun;Ma Kejuan;Zhang Huifang;Yan Shifang;Wang Xiaojing;Yue Meili(No.6 Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院心内六科,100029

出　　处：《中华现代护理杂志》2019年第6期781-783,共3页Chinese Journal of Modern Nursing

摘　　要：目的总结6 例无导线起搏器植入患者的护理经验。方法分析2018 年8— 10 月首都医科大学附属北京安贞医院首次植入无导线起搏器6 例患者的护理经验。护理要点包括术前护理,术中护理,术后监测及护理,随访宣教。结果 6 例患者中2 例为房颤伴长间歇,4 例为窦房结病变伴偶发长间歇。术中起搏阈值及感知良好,阻抗理想,术中及术后均未发生并发症。无导线起搏器手术时间短,不影响外观,患者心理负担轻,与传统起搏器相比,护理程序相对简单。结论无导线起搏器减少了囊袋及导线相关并发症,有广泛应用前景,但护理经验还需要大规模临床观察及总结。Objective To summarize the nursing experience for 6 patients receiving wireless pacemaker implantation. Methods The nursing experience for 6 patients who received wireless pacemaker implantation for the first time in Beijing Anzhen Hospital, Capital Medical University from August to October 2018. The nursing highlights included preoperative nursing, operative nursing, postoperative monitoring, nursing, follow-up and education. Results 2 of the 6 patients sustained atrial fibrillation combined with long pause, and 4 sustained atrionector lesion combined with incidental long pause. The threshold value and perception of pace-making was sound and the impedance was ideal during operation. No complication was found during and post operation. The surgical time for implanting wireless pacemakers was short and the patients' appearance was not affected. Their mental burden was relatively light. Nursing procedures were simpler than the those for traditional pacemakers. Conclusion Wireless pacemakers reduce airbag and wire-related complications and is promising in clinical use. But nursing experience needs to be observed clinically and summarized.

关 键 词：心脏起搏器 人工 护理 无导线起搏器 缓慢性心律失常 心脏起搏 

分 类 号：R473.5[医药卫生—护理学]