冠心病相关急性心肌梗塞急诊介入治疗者的早期康复护理措施分析

摘要

目的:探讨冠心病相关急性心肌梗塞(acute myocardial infarction,AMI)急诊经皮冠状动脉介入(percutaneouscoronary intervention,PCI)治疗者的早期康复护理措施.方法:选择本院急诊行PCI治疗的冠心病相关AMI患者124例,随机分为对照组与研究组,每组各62例.对照组PCI术后采取常规护理措施,研究组PCI术后实施早期康复护理措施.观察比较两组术后并发症及术后3个月的生活质量评分情况.结果:研究组术后并发症发生率为19.35％,低于对照组的38.71％(P＜0.05);研究组术后3个月的各项生活质量评分(社会心理功能、一般生活功能、医疗情况、综合状况、病情、体力)均高于对照组(P＜0.05).结论:冠心病相关AMI急诊PCI治疗者应用早期康复护理措施可以有效降低并发症概率,强化生活质量,适于临床推广.%Objective:To discuss the early rehabilitation nursing measures for patients with acute myocardial infarction(AMI)associated with coronary heart disease(CHD) emergency interventional therapy undergoing percutaneous coronary intervention (PCI).Methods:124 patients with CHD undergoing PCI in our hospital were randomly divided into control group and study group,each group had 62 cases.In the control group,routine nursing measures were taken after PCI,and the early rehabilitation nursing measures were performed in the study group.The postoperative complications and the quality of life scores at 3 months after operation were observed and compared.Results:The incidence of postoperative complications was 19.35％ in the study group,which was lower than that in the control group 38.71％ (P ＜ 0.05).The quality of life scores (social function,general life function,medical condition,comprehensive condition,condition and physical strength) were higher than those in the control group at 3 months after operation (P ＜ 0.05).Conclusion:Early rehabilitation nursing care of patients with coronary heart disease related AMI can effectively reduce the probability of complications and strengthen the quality of life,which is suitable for clinical promotion.