舒适及细节双层渗透干预对CCU急性心肌梗死患者免疫功能的影响  

The Effect of Comfort and Detail Double-layer Infiltration Intervention on Immune Function in Patients with Acute Myocardial Infarction in CCU

作　　者：李明慧 LI Minghui(The Ninth People's Hospital of Zhengzhou,Zhengzhou Henan 450000)

机构地区：[1]郑州市第九人民医院,河南郑州450000

出　　处：《医学临床研究》2024年第3期417-419,423,共4页Journal of Clinical Research

摘　　要：【目的】探讨舒适及细节双层渗透干预对冠心病监护病房(CCU)急性心肌梗死患者免疫功能的影响。【方法】选择2020年3月至2021年3月本院收治的86例CCU急性心肌梗死患者,根据患者及家属意愿将其分为观察组和对照组,每组43例。对照组采用常规护理措施,观察组采用舒适及细节双层渗透干预。比较两组患者干预前后舒适度情况、体液免疫指标及细胞免疫指标。【结果】干预后,两组患者CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)均高于干预前,CD8^(+)低于干预前,且观察组CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)均高于对照组,观察组CD8^(+)低于对照组,差异有统计学意义(P<0.05)。干预后,两组患者IgA、IgM、IgG均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组舒适度评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。【结论】舒适及细节双层渗透干预应用于CCU急性心肌梗死患者中可提升患者舒适度,改善患者免疫功能,有利于改善患者预后,值得临床推广应用。【Objective】To explore the effects of comfort and detail double-layer infiltration intervention on immune function in patients with acute myocardial infarction in CCU.【Methods】A total of 86 patients with acute myocardial infarction in CCU admitted to our hospital from March 2020 to March 2021 were selected.According to the wishes of the patients and their families,they were divided into an observation group and a control group,with 43 cases in each group.The control group received routine nursing measures,while the observation group received comfort and detail double-layer penetration intervention.We compared the comfort level,humoral immune indicators,and cellular immune indicators between two groups of patients before and after nursing care.【Results】After intervention,the levels of CD3^(+),CD4^(+),and CD4^(+)/CD8^(+)in both groups of patients were higher than before intervention,and CD8^(+)was lower than before intervention.In addition,the levels of CD3^(+),CD4^(+),and CD4^(+)/CD8^(+)in the observation group were higher than those in the control group,and the levels of CD8^(+)in the observation group were lower than those in the control group,with statistical significance(P<0.05).After intervention,the levels of IgA,IgM,and IgG in both groups of patients were higher than before intervention,and the observation group was higher than the control group,with statistical significance(P<0.05).After intervention,the comfort scores of both groups were higher than before intervention,and the observation group was higher than the control group,with a statistically significant difference(P<0.05).【Conclusion】The application of comfort and detail dual layer infiltration intervention in CCU acute myocardial infarction patients can improve patient comfort,improve immune function,and improve patient prognosis,which is worthy of clinical promotion and application.

关 键 词：心肌梗死 急性病 免疫功能 冠心病重症监护病房 

分 类 号：R542.22[医药卫生—心血管疾病]