心脏瓣膜置换术并发低心排综合征的ICU系统化干预措施  

Analysis of ICU systematic intervention on patients treated with cardiac valve replacement complicated with low cardiac output syndrome

作　　者：宋天琪 马晶[1] 彭晓红[1] 李颖[1] SONG Tianqi;MA Jing;PENG Xiaohong(Second Department of Critical Care Medicine,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang,Urumqi 830000,China)

机构地区：[1]新疆医科大学第一附属医院重症医学二科,乌鲁木齐市830000

出　　处：《河北医药》2023年第15期2395-2397,共3页Hebei Medical Journal

基　　金：新疆维吾尔自治区自然科学基金(编号:2022D0IC224)。

摘　　要：目的探讨ICU系统化干预在心脏瓣膜置换术并发低心排综合征中的应用价值。方法选取2019年6月至2021年12月收治心脏辨膜置换术并发低心排综合征患者70例,随机数字法,对照组30例接受常规干预,研究组40例接受ICU系统化干预,对2组患者干预结局进行对比分析。结果研究组护理有效率高于对照组(P<0.05);研究组护理后ICU住院时间、机械通气时间,短于对照组(P<0.05);研究组患者护理后心功能指标包括左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVFS)、E/A、EPSS水平均显著优于对照组(P<0.05)。研究组护理后并发症发生率低于对照组(P<0.05)。结论心脏瓣膜置换术并发低心排综合征,采取ICU系统化干预,可促进患者快速恢复,减少并发症,提升护理效果,临床具有较高价值。Objective To explore the application value of intensive care unit(ICU)systematic intervention on patients treated with cardiac valve replacement complicated with low cardiac output syndrome.Methods A total of 70 patients treated with cardiac membrane replacement complicated with low cardiac output syndrome in ouRhospital from June 2019 to DecembeR2021 were recruited.They were randomly divided into control group(n=30,conventional intervention)and research group(n=40,ICU systematic intervention).The intervention outcomes of the two groups were compared and analyzed.Results The effective rate of nursing intervention in the research group was significantly higheRthan that in the control group(P<0.05).The length of ICU stay and the duration of mechanical ventilation in the research group were significantly shorteRthan those in the control group(P<0.05).Cardiac function indexes,including the left ventriculaRejection fraction(LVEF),left ventriculaRend-systolic diameteR(LVESD),left ventriculaRfractional shortening(LVFS),ratio of early to late transmitral flow velocity(E/A)and the mitral valve E-Point to Septal Separation(EPSS)in the research group were significantly betteRthan those in the control group(P<0.05).The incidence of postoperative complications in the research group was significantly loweRthan that in the control group(P<0.05).Conclusion ICU systematic intervention can promote the rapid recovery,reduce complications,improve nursing effect on patients treated with cardiac valve replacement complicated with low cardiac output syndrome,which has a high clinical value.

关 键 词：心脏瓣膜置换术 低心排综合征 ICU系统化干预 并发症 

分 类 号：R542.5[医药卫生—心血管疾病]