冠心病介入术后并发症的护理

摘要

目的：观察冠心病介入治疗术后的并发症，分析其护理效果。方法：选择2011年9月～2012年8月我院收治的经冠脉介入治疗的冠心病患者200例，对术后并发症进行观察和护理。结果：本组冠心病介入治疗术后的并发症包括前臂血肿26例（13％）、穿刺部位渗血水肿5例（2.5％）、拔管综合征4例（2％）、心律失常2例（1％）、假性动脉瘤2例（1％）等，其中前臂血肿发生率最高，明显高于其他并发症发生率，差异具有显著性（P＜0.05）；经针对性护理，各并发症均有效好转并恢复正常。结论：对冠心病介入治疗后的患者进行全面且有针对性的护理，可以有效预防患者术后的并发症，促进患者尽快康复。%Objective:To observe the postoperative complications of percutaneous coronary intervention (PCI)in pa-tients With coronary heart disease (CHD)and analyze its nursing methed.Methods:A total of 200 CHD patients un-dergoing PCI in our hospital from Sep 2011 to Aug 2012 Were enrolled.The postoperative complications and thera-peutic effect Were observed and analyzeits nursing methods.Results:There Were 42 cases of PCI postoperative com-plications,included 26 cases (13%)of forearm hematoma,five cases (2.5%)of errhysis and edema at puncture site,four cases (2%)of extubation syndrome,tWo cases (1%)of arrhythmia and tWo cases (1%)of pseudoaneu-rysm etc.,in Which the incidence of forearm hematoma Was the highest,compared With any other complication (P<0.05 );after direction nursing,all complications significantly improved and recovered to normal.Conclusion:Comprehensive and directive nursing can effectively prevent postoperative complications and promote rehabilitation as soon as possible in patients With coronary heart disease after percutaneous coronary intervention.