冠心病合并脑梗死患者介入治疗后的护理分析

庄媛　李杰　付佳青

[摘要]目的 对冠心病合并脑梗死患者的介入治疗后的护理进行研究。 方法 选取我院2014年2月～2015年2月接诊的86例冠心病合并脑梗死患者作为研究对象，采用抽签法随机分为观察组（n=43）和对照组（n=43），观察组患者采用系统性介入手术治疗后护理法，对照组患者则采用常规护理方法。观察两组患者术后的出血量、尿潴留、低血压等并发症的发生情况，并对患者的护理感受进行调查。 结果 两组患者术后并发症发生情况比较，观察组患者的并发症总发生率20.9%明显低于对照组患者的46.5%，差异有统计学意义（x2=6.2952，P<0.05）；在对护理满意度的调查中，观察组患者的总满意度93.0%明显高于对照组患者的72.1%，差异有统计学意义（x2=6.5408，P<0.05）。 结论 对冠心病合并脑梗死患者采用介入手术治疗后护理法来进行护理，明显比常规的护理方法效果更好，减少了患者并发症的发生，也提高了患者对护理的满意度，具有较高的临床意义，值得推广。

[关键词]介入手术；护理；冠心病；脑梗死

[中图分类号] R473.5 [文献标识码] B [文章编号] 2095-0616（2015）24-120-03

[Abstract] Objective To research the nursing measures of patients with coronary heart disease complicated with cerebral infarction after interventional treatment. Methods 86 cases of coronary heart disease patients complicated with cerebral infarction， who were in our hospital from February 2014 to February 2015， were selected as the research object， and randomly divided into observation group （n=43） and control group （n=43） by lottery method. The patients in the observation group were given system interventional nursing method after surgical treatment， and patients in the control group were given the routine nursing care. The incidence of postoperative bleeding， urinary retention， hypotension and other complications of the two groups were observed， and the patients nursing experience was investigated. Results The incidence of complications in the observation group was 20.9%， significantly lower than that of the control group （46.5%）， with statistical significance （x2=6.2952，P<0.05）. In the survey of nursing satisfaction， 93.02% of the total satisfaction of observation group patients was obviously higher than that of control group 72.1% of the patients， Clear difference between group， with statistical significance （x2=6.5408，P<0.05）. In the survey of nursing satisfaction， the total satisfaction of observation group 93.0% was significantly higher than that of the control group， the difference was statistically significant （x2=6.5408，P<0.05）. Conclusion For patients with coronary heart disease （CHD） after interventional surgery， system nursing method is apparently better than routine nursing methods. System nursing can educe complications， and improve the patient satisfaction of nursing. It has high clinical significance， is worth promoting.

[Key words] Intervention operation；Nursing； Coronary heart disease （CHD）； Cerebral infarction

介入治疗是近年来在医学上逐渐受到重视的一种治疗方法，包括血管内介入和非血管介入治疗，其工作原理是在不为患者开刀的情况下，在患者的血管、皮肤上开启直径仅有几毫米的通道，再通过影像设备比如CT、B超、透视机等的引导来对患者的病灶进行局部的治疗[1]。目前，有关介入治疗后的护理方法的探究也越来越受到重视，护理人员需要有针对介入治疗的护理方法来对患者进行护理，对患者的后期恢复及病情控制起到促进作用。本研究主要针对冠心病合并脑梗死患者介入治疗后的护理进行分析，观察患者的术后恢复情况及合理满意度，为护理人员的护理方法改进及学习提供依据，具体内容如下。endprint

1 资料与方法

1.1 一般资料

选取我院2014年2月～2015年2月接诊的86例冠心病合并脑梗死患者作为研究对象，所有患者的诊断情况均符合冠心病合并脑梗死的临床症状[2-6]。……