急性肺栓塞患者发生心房颤动的危险因素及护理措施  

Risk Factors and Nursing Measures of Atrial Fibrillation in Patients with Acute Pulmonary Embolism

作　　者：法卿 杨越[1] 殷涵 FA Qin;YANG Yue;YIN Han(The First Affiliated Hospital of Dalian Medical University,Dalian 116021,China)

机构地区：[1]大连医科大学附属第一医院,大连116021

出　　处：《中国医药指南》2024年第6期96-98,102,共4页Guide of China Medicine

摘　　要：目的探讨急性肺栓塞(APE)患者发生心房颤动的危险因素及护理措施。方法选取2018年11月至2020年11月于我院收治的APE患者50例,根据APE患者是否发生心房颤动将其分为心房颤动组(20例)和窦性心律组(30例)。检测患者高敏C反应蛋白(hs-CRP)、红细胞(RBC)、血红蛋白(Hb)、血小板(PET)、红细胞分布宽度(RDW)、平均血小板体积(MPV)、B型利钠肽(BNP)水平和左心房内径(LAD)、右房内径(RAD)、左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、肺动脉收缩压。结果心房颤动组患者BNP水平高于窦性心律组;心房颤动组患者血清hs-CRP水平高于窦性心律组;心房颤动组LAD和RAD高于窦性心律组,而LVEF低于窦性心律组,差异具有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,BNP、hs-CRP水平增高是APE患者发生心房颤动的独立危险因素(P<0.05)。结论BNP、hs-CRP水平增高是APE患者发生心房颤动的独立危险因素,临床可通过护理干预降低患者发生心房颤动的风险。Objective To explore the risk factors and nursing measures of atrial fibrillation in patients with acute pulmonary embolism.Methods From November 2018 to November 2020,50 patients with APE were divided into atrial fibrillation group(n=20)and sinus rhythm group(n=30)according to whether they had atrial fibrillation or not.The levels of high sensitivity C-reactive protein(hs-CRP),erythrocyte(RBC),hemoglobin(Hb),platelet(PET),erythrocyte distribution width(RDW),mean platelet volume(MPV),B-type natriuretic peptide(BNP)level,left atrial diameter(LAD),right atrial diameter(RAD),and left atrial diameter were measured.Left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),pulmonary artery systolicpressure.Results The level of BNP in atrial fibrillation group was higher than that in sinus rhythm group,the serum levels of hs-CRP in atrial fibrillation group were higher than those in sinus rhythm group,LAD and RAD in atrial fibrillation group were higher than those in sinus rhythm group,while LVEF was lower than that in sinus rhythm group.Multivariate Logistic regression analysis showed that the increased levels of BNP,hs-CRP were independent risk factors for atrial fibrillation in patients with APE.Conclusions The increased levels of BNP,hs-CRP are independent risk factors for atrial fibrillation in patients with APE.Nursing intervention can be used to reduce the risk of atrial fibrillation in patients with atrial fibrillation.

关 键 词：急性肺栓塞 心房颤动 护理措施 

分 类 号：R563.5[医药卫生—呼吸系统] R473.5[医药卫生—内科学]