七步法应用于主动脉内球囊反搏支持下高危急性心肌梗死急诊介于术后的效果研究  

Application of Seven-step Training in Patients with high-risk Acute Myocardial Infarction Supported by Emergency Percutaneous Coronary Interventional Surgery and Intra-Aortic Balloon Counterpulsation

作　　者：蹇祥玉[1] 叶秀莲[1] 路海云[1] 郑蕴仪 JIAN Xiang-yu;YE Xiu-lian;LU Hai-yun;ZHENG Yun-yi(Foshan Second People's Hospital, Foshan 52800, China)

机构地区：[1]广东佛山市第二人民医院

出　　处：《血栓与止血学》2019年第3期376-379,共4页Chinese Journal of Thrombosis and Hemostasis

基　　金：佛山市科技局基金立项项目(201308026);佛山市医学重点专科培育项目(Fspy3-2015020);佛山市十三五医学重点专科和特色专科建设(FSZDZK135024)

摘　　要：目的探讨主动脉内球囊反搏(IABP)支持下高危急性心肌梗死(AMI)急诊经皮冠脉介入术(PCI)后Ⅰ期心脏康复中应用七步训练法的效果。方法将55例IABP支持下高AMI急诊PCI术后患者随机分为观察组26例和对照组29例,对照组给予AMI、PCI术后常规护理,观察组在对照组的基础上实施I期心脏康复护理。比较两组患者IABP使用时间、CCU监护时间、术后住院天数及不良事件发生率:肺部感染、下肢静脉血栓、心律失常、心绞痛以及患肢远端缺血等临床资料。结果观察组IABP使用时间、CCU监护时间、术后总住院天数明显短于对照组(P<0.05)。在不良事件发生比较:肺部感染、下肢静脉血栓、患侧远端缺血、心律失常、心绞痛指标两组间无显著差异(P>0.05)。结论对IABP支持下高危AMI急诊PCI术后患者实施个体化的七步法训练进行心脏康复护理安全可行,可以缩短住院时间,促进患者日常自我照顾能力。Objective To investigate the effect of seven-step training in the treatment of high-risk acute myocardial infarction(AMI)under intra-aortic balloon counterpulsation(IABP)and emergency percutaneous coronary interventional surgery(PCI).Methods 55 patients with high-risk AMI under emergency PCI were randomly divided into observation group(n=26)and control group(n=29).The control group received routine care after AMI(PCI).The observation group was implemented on the basis of the control group.Phase I cardiac rehabilitation care.The IABP use time,CCU monitoring time,postoperative hospital stay and the incidence of adverse events were compared between the two groups:clinical data of pulmonary infection,venous thrombosis of the lower extremities,arrhythmia,angina pectoris and distal limb ischemia.Results The time of Intra-aortic balloon counterpulsation IABP use,CCU monitoring time and total postoperative hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).There was no significant difference between the two groups in the comparison of adverse events:pulmonary infection,lower extremity venous thrombosis,distal ipsilateral ischemia,arrhythmia,and angina pectoris(P>0.05).Conclusion It is safe and feasible to carry out individualized seven-step training for patients with high-risk acute myocardial infarction under the support of IABP for cardiac rehabilitation.It can prevent the occurrence of complications,shorten the length of hospital stay and promote the patient’s daily self-care ability.

关 键 词：主动脉内球囊反搏 高危急性心肌梗死 七步法 

分 类 号：R473[医药卫生—护理学]