老年急性冠脉综合征伴有合并症患者行冠状动脉介入术的护理

对121例高龄老年急性冠脉综合征合并糖尿病、高血压患者行冠状动脉介入(PCI)术,对其护理进行了总结,认为术前加强心理护理,认真做好术前准备;对合并糖尿病患者术前、中、后监测血糖变化,使用降糖药物控制血糖;对合并高血压患者术前维持血压水平,术后每30分钟监测血压,运用护理技能排除引起血压波动的多因素和多环境影响,稳定血压;术后加强巡视,密切观察抗凝治疗中的出血征象等,可促进患者康复,提高老年患者生存质量。

Nursing care of aged patients after PCI who had complications with ACS

To summarize the nursing experiences in caring 121 senile cases of acute coronary syndrome with diabetes and/or hypertension after these patients had accepted the operation of percutaneous coronary intervention (PCI). The experiences are described as follows, according to the stages of the thing. Before the operation, it needs to enhance the psychological care and make a good preoperative preparation. For the patients combined with diabetes, it needs to monitor the changes on blood sugar, before, during and after the operation, and to control the blood sugar using the hypoglycemic drug. For the patients combined with hypertension, it needs to maintain the blood pressure before the operation, and monitor the blood pressure per 30min after the operation; and to exclude the influence of multi-factors and multi-environmental factors leading to the fluctuation of blood pressure with nursing technical skills, and thereby to stabilize the blood pressure. After the operation, it needs to strengthen the ward-round, including the observation of impossible bleeding symposium and etc. in the process of antithrombotic therapy. These bring benefits for preventing the recurrence and improving the status of asymptomatic survival of the old patients.