摘要
目的探讨糖尿病合并急性心肌梗死静脉溶栓治疗的护理效果。方法选取本院2011年5月～2013年5月糖尿病合并急性心肌梗死患者84例，均行静脉溶栓治疗。根据护理方法不用分为两组，常规护理患者42例为对照组，护理干预患者42例为观察组，比较两组患者的治疗效果及并发症情况。结果观察组开始溶栓时间（4．6±0．5）h、住院时间（11．4±2．3）d均明显小于对照组（5．7±1．2）h、（15．2±3．1）d，观察组栓塞血管再通率（97．6％）明显高于对照组（83.3％），观察组并发症发生率（7．1％）明显低于对照组（31．0％），差异均有统计学意义（P〈0．05）。结论糖尿病合并急性心肌梗死患者行溶栓治疗时，有效的护理干预可明显缩短治疗时间，提高治疗效果，降低并发症发生率，改善预后。
Objective To investigate nursing effect of intravenous thrombolysis in treatment for diabetes mellitus and acute myocardial infarction. Methods 84 patients with diabetes mellitus and acute myocardial infarction were selected in hospital from May 2011 to May 2013, who treated intravenous thrombolysis. Patients were randomly divided into two groups.42 patients treated routine nursing as control group. 42 patients treated nursing intervention as observation group. Therapeutic effect and complications were compared between two groups. Results Starting time of thrombolysis （ 4.6 -＋ 0.5 ） h, hospitalization time （11.4 -＋ 2.3）d in observation group were significantly less than control group （5.7 ＋ 1.2）h, （15.2 -＋ 3.1）d. Recanalization rate of arterial embolism （97.6%） in observation group was significantly higher than control group （ 83.3% ）. Complication rate （7.1%） in observation group was significantly lower than control group （31.0%）. Difference was statistically significant （P 〈 0.05）. Conclusion When patients with diabetes mellitus and acute myocardial infarction accept intravenous thrombolysis, effective nursing intervention can significantly shorten treatment time, improve therapeutic effect, reduce complication rate, improve prognosis.
出处
《中国医药科学》
2013年第20期128-129,共2页
China Medicine And Pharmacy
关键词
糖尿病
急性心肌梗死
静脉溶栓
护理
Diabetes mellitus
Acute myocardial infarction
Intravenous thrombolysis
Nursing
