摘要
目的：探讨急性心肌梗死患者经皮冠状动脉介入治疗（ PCI）术后住重症监护病房（ ICU）延长的原因及预防对策。方法：选取2012年6月～2014年6月在本院ICU收治的96例行PCI治疗在ICU时间延长的急性心肌梗死患者为研究对象，对导致急性心肌梗死PCI术后ICU延长的相关因素进行单因素及Logistic多因素分析，并提出相应护理策略。结果：患者PCI术后发生ICU延长经Logistic多因素分析，房颤、左心室功能不全、右心室功能不全、术后出血是急性心肌梗死患者PCI术后ICU延长的危险因素。结论：房颤、低血压、心包积液、心功能不全是急性心肌梗死患者PCI术后ICU时间延长危险因素，术后密切留意患者病情，加强患者护理，及时发现高危患者，对缩短急性心肌梗死患者ICU时间具有重要的意义。
Objective：Discussion on causes and countermeasures of time delayed in ICU of percutaneous coronary artery interventional therapy （ PCI） live in patients with acute myocardial infarction （ AMI） . Methods：96 cases from June 2012 to June 2014 in ICU of PCI in the treatment of acute myocardial infarc-tion patients were selected as the research objects,analyzed the related factors leading to delayed ICU after PCI for acute myocardial infarction of single fac-tors and logistic multi factor,and put forward the corresponding nursing strategy. Results：Through logistic regression analysis,atrial fibrillation,left ventricu-lar insufficiency is not full,right ventricular function,postoperative bleeding were risk factors for delayed ICU after acute myocardial infarction in patients with PCI. Conclusion：Atrial fibrillation,hypotension,pericardial effusion,cardiac insufficiency were the acute myocardial infarction after PCI in patients with ICU time delay risk factors,postoperative pay close attention to the patient＆#39;s condition,strengthen patient care,timely detection of high-risk patients,has im-portant significance for shortening ICU time in patients with acute myocardial infarction.
出处
《护理实践与研究》
2015年第6期95-96,共2页
Nursing Practice and Research
关键词
急性心肌梗死
ICU时间延长
预防策略
Acute myocardial infarction
ICU time delay
Prevention strategy
