摘要
总结1例开胸行心脏瓣膜置换术联合人工血管置换术老年患者合并呼吸衰竭与急性疼痛的护理经验。主要护理要点:组建多学科团队,制定个体化疼痛管理与术后康复方案,发挥疼痛专科护士主导作用;全面准确疼痛评估,分析患者疼痛轨迹;结合患者术后呼吸衰竭的进展情况,坚持低阿片降阶梯止痛的理念,合理应用镇痛药物,实现镇痛药物药效与患者疼痛轨迹的有效匹配,适时加入中医护理技术,优化多模式疼痛管理方案,减少镇痛药物潜在不良反应的风险,避免加重呼吸衰竭的诱发因素,有效镇痛前提下,通过血气分析及呼吸衰竭控制情况进行降阶梯氧疗及个体化康复锻炼,加速患者快速康复,使患者呼吸衰竭症状得到有效控制,顺利脱氧,术后10天顺利出院。
To summarize the nursing experience of an elderly patient with respiratory failure undergoing heart valve replacement combined with artificial vascular replacement wi-th thoracotomy.Nursing key points:to develop individualized pain management and postoperative rehabilitation plans,and give full play to the leading role of pain specialist nurses.In combination with the progress of postoperative respiratory failure in patients,adhere to the concept of low-opioid step-down analgesia,apply analgesic drugs rationally,and achieve effective matching of the efficacy of analgesic drugs with the pain trajectory of patients.Timely.
作者
张苗
丁国宏
陈洁
邓艳茹
吕小英
Zhang Miao;Ding Guohong;Chen Jie;Deng Yanru;Lv Xiaoying(Department of Cardio-Thoracic Surgery Care Unit,Huzhou Center Hospital,Huzhou,Zhejiang 313000;Post Anesthesia Care Unit,The Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou,Zhejiang 310000)
出处
《护理学论坛》
2026年第1期5-7,共3页
Nursing Forum
基金
浙江省医药卫生科技计划项目(2024KY413)。
关键词
心脏瓣膜病
呼吸衰竭
疼痛护理
老年患者
valvular heart disease
respiratory failure
pain nursing
elderly patient
