心血管介入术后迷走神经反射的临床观察  

Clinical Observation of Vagus Nerve Reflex after Cardiovascular Intervention

作　　者：李晓雪 肖践明[2] 李琳[2] LI Xiao-xue;XIAO Jian-ming;LI Lin(Dept. of Pathology,Kunmin Medical University,Kunming Yunnan 650500;Dept. of Cardiology,1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)

机构地区：[1]昆明医科大学基础医学院病理与病理生理学系,云南昆明650500 [2]昆明医科大学第一附属医院心内科,云南昆明650032

出　　处：《昆明医科大学学报》2019年第6期71-75,共5页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81560072);云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(2014FB037)

摘　　要：目的 探讨心血管介入术后迷走神经反射具体表现及其影响因素。方法 选取2015年2月至2017年2月昆明医科大学第一附属医院心血管介入术后发生迷走神经反射的患者200例为研究对象,统计分析患者发生迷走神经反射的因素;根据对患者是否实施干预将其分为观察组和对照组,每组各100例。观察组患者根据其具体情况实施干预,对照组患者则不予干预,在此基础上观察对比2组患者心血管迷走神经反射发生率,进而分析导致患者发生心血管迷走神经反射的因素。结果 观察组患者心血管介入术后迷走神经反射发生率为2%,对照组患者心血管介入术后迷走神经反射发生率为5%,观察组明显低于对照组,差异具有统计学意义(P<0.05);引发患者出现迷走神经反射的因素主要包括患者自身精神紧张、术后疼痛刺激、医生手术过程中操作不当、血容量较小、空腔脏器受到强烈刺激等。结论 临床上引起心血管介入术后迷走神经反射的因素较多,具体包括患者自身精神紧张、术后疼痛刺激、医生手术过程中操作不当、血容量较小等;针对患者具体情况实施个性化的干预措施,有助于降低迷走神经反射的发生率,从而提高手术成功率。Objective To observe the specific manifestations and influencing factors of vagus nerve reflex after cardiovascular intervention. Methods A total of 200 patients with vagal reflex after cardiovascular intervention were enrolled in our hospital from February 2015 to February 2017. The factors of vagal reflex were statistically analyzed. The intervention was based on whether patients were intervened. Patients were divided into observation group and control group, each group of 100 cases. Patients in the observation group were intervened according to their specific conditions, and the patients in the control group were not given intervention. On this basis,the incidence of cardiovascular vagal reflex was compared between the two groups, and then the factors leading to cardiovascular vagal reflex were analyzed. Results The incidence of vagal reflex after cardiovascular intervention was 2% in the observation group, and 5% in the control group after vascular intervention. The observation group was significantly lower than the control group,and the difference was statistically significant(P < 0.05);The factors that cause vagus nerve reflex in patients included the patient’s own mental stress,postoperative pain stimulation,improper operation during the doctor's surgery,small blood volume,and strong stimulation of the hollow organs. Conclusion There are many factors in clinically causing vagus nerve reflex after cardiovascular intervention, including the patient's own mental stress,postoperative pain stimulation,improper operation during doctor's surgery, and small blood volume. Personalized interventions for the specific situation of patients can help reduce the incidence of vagal reflexes, thereby increasing the success rate of surgery.

关 键 词：心血管介入术 迷走神经反射 精神紧张 术后疼痛 干预措施 

分 类 号：R54[医药卫生—心血管疾病]