预见性护理在负荷心肌灌注显像并发心脏血管迷走神经反射中的应用效果  

Application Effect of Predictive Nursing in Stress Myocardial Perfusion Imaging Complicated by Cardiovascular Va­gus Nerve Reflex

作　　者：李培[1] 郭元琨 张杰[1] 谢建[1] 崔静[1] LI Pei;GUO Yuan-kun;ZHANG Jie(Central China Fuwai Hospital of Zhengzhou University,Zhenzhou,Henan,450000,China)

机构地区：[1]郑州大学华中阜外医院,河南郑州450000

出　　处：《黑龙江医学》2022年第5期627-629,共3页Heilongjiang Medical Journal

摘　　要：目的:观察预见性护理对负荷心肌灌注显像并发心脏血管迷走神经反射的干预效果。方法:选取2019年7—12月郑州大学华中阜外医院120例预约检查负荷心肌灌注显像的患者作为研究对象,通过随机化分组,将120例患者分成对照组58例和观察组62例。对照组实施常规护理,包括护理指导、饮食护理及药物护理等,观察组实施常规护理和预见性护理,包括检查前、检查中和检查后多项护理措施。对两组患者检查前、检查中以及检查后24h是否出现心脏血管迷走神经反射进行记录、比较和分析。结果:对照组患者并发心脏血管迷走神经反射共13例,总体发生率为22.41%,其中,检查前、检查中和检查后分别为2例、8例和3例,相应的比例分别为3.45%、13.79%和5.17%。观察组并发心脏血管迷走神经反射共5例,总体发生率为8.06%,其中,检查前、检查中和检查后分别为1例、3例和1例,相应的比例分别为1.61%、4.84%和1.61%。观察组患者并发心脏血管迷走神经反射总发生率明显低于对照组,差异有统计学意义(χ^(2)=4.799,P<0.05)。结论:预见性护理可有效降低负荷心肌灌注显像患者并发心脏血管迷走神经反射的发生率。Objective:To observe the intervention effect of predictive nursing in stress myocardial perfusion imaging complicated by cardiovascular vagus nerve reflex.Methods:A total of 120 patients who were scheduled to be checked for stress myocardial perfusion imaging in the hospital from July to December 2019 were selected as the research subjects,and divided into 58 cases in the control group and 62 cases in the observation group by randomization.The control group was given routine care,including nursing guidance,dietary care and drug care,and the observation group was given routine care and predictive care,including a number of nursing measures before,during and after the examination.Before,during and 24 h after the examination,the cardiovascular vagal reflexes were recorded,compared and analyzed in the two groups of patients.Results:There were 13 patients with cardiovas­cular vagal reflex in the control group,with an overall incidence rate of 22.41%.Among them,there were 2,8 and 3 cases before,during and after examination,accounting for 3.45%,13.79%and 5.17%,respectively.There were 5 cases of cardiovascular vagal reflex in the observation group,and the overall incidence was 8.06%.Among them,there were 1 case,3 cases and 1 case before the inspection,during the inspection and after the inspection,accounting for 1.61%,4.84%and 1.61%,respectively.The to­tal incidence of cardiovascular vagal reflex in the observation group was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=4.799,P<0.05).Conclusion:Predictive nursing can effectively reduce the incidence of cardiovascular vagal reflex in patients with stress myocardial perfusion imaging.

关 键 词：负荷心肌灌注显像 心脏血管迷走神经反射 核医学科 预见性护理 冠状动脉粥样硬化性心脏病 

分 类 号：R47[医药卫生—护理学]