急性心梗介入治疗术后患者的心理护理效果观察

目的探讨急性心梗介入治疗术后患者的心理护理效果。方法选取我院2015年6月~2016年10月间收治的60例急性心梗并行介入治疗的患者作为研究对象,并随机分为观察组、对照组,各30例。对照组患者给予常规护理,观察组患者给予常规护理、心理护理,比较两组患者的临床效果,并进行统计学分析。结果观察组患者左心室射血分数、左心室短轴缩短率、二尖瓣口舒张期E峰速度显著优于对照组患者,差异有统计学意义(P0.05);观察组患者对于护理工作的满意度为93.3%,对照组为76.7%,观察组显著高于对照组,差异有统计学意义(P0.05)。结论通过给予心理护理可提高急性心梗介入治疗术后患者的治疗效果,提高患者对护理工作的满意度。     

急性闭塞性脑梗死介入溶栓术的护理观察

目的分析急性闭塞性脑梗死介入溶栓术的护理效果。方法运用随机抽样的方法选择治疗的急性闭塞性脑梗死患者100例,随机分为观察组和对照组各50例,对照组给予常规护理,观察组则在常规护理的基础上给予整体护理,比较2组患者的临床疗效、生活质量评分、并发症发生情况及患者满意度。结果对照组有效率为76.0%,观察组96.0%,观察组明显高于对照组,差异有统计学意义(P0.05);2组患者的生活质量评分均有所提高,且观察组生活质量改善程度明显高于对照组,差异均有统计学意义(均P0.05);对照组并发症发生率为12.0%,护理满意度为74.0%,观察组则分别为2.0%和94.0%,与对照组相比,观察组并发症发生率明显降低,护理满意度明显提高,差异均有统计学意义(P0.05)。结论在常规护理的基础上给予整体护理,能够有效提高介入溶栓术治疗急性闭塞性脑梗死的临床效果,有效降低并发症发生率,提高患者生活质量和满意度,可以在临床上推广应用。     

慢性肾脏病合并冠心病患者冠状动脉介入术后行血液透析的护理

目的：总结15例慢性肾脏病合并冠心病患者冠状动脉介入术后行血液透析的护理。方法术前加强心理护理；术中使用对肾损害小的低渗非离子造影剂；术毕做好与血液透析室的衔接，立即行血液透析；返回病房后密切观察患者病情变化；积极应对出现的各种并发症。结果患者以良好的心理状态迎接手术，未出现原有肾损害的加重，并发症得以对症处理。结论充分认识疾病，进行周密护理，是提高手术成功率及患者预后的关键。     

75例儿童先天性心脏病介入封堵术后的随访研究

目的 探讨介入封堵术对儿童左向右分流型先天性心脏病（CHD）心脏结构及血流动力学的影响。方法 回顾性分析2011年6月至2016年6月在安徽医科大学第二附属医院行介入封堵术治疗的75例CHD患儿的临床资料，其中房间隔缺损（ASD）患儿24例、室间隔缺损（VSD）患儿24例、动脉导管未闭（PDA）患儿27例，采用经胸超声心动图检测术前、术后第3天、术后1个月、术后3个月、术后6个月及术后1年患儿心脏结构及血流动力学相关指标的变化。结果 介入封堵术后，VSD患儿的右心室内径（RV）、左心房内径（LA）、左心室内径（LV）、肺动脉压（PAP）、肺动脉瓣口血流速度（PV）、二尖瓣口舒张早期最大血流速度（MVE）、二尖瓣口舒张晚期最大血流速度（MVA）较术前减小，ASD患儿的RV、PAP、三尖瓣口舒张早期最大血流速度（TVE）、三尖瓣口舒张晚期最大血流速度（TVA）、PV及PDA患儿的LA、LV、MVE、MVA、AV、PAP均较术前减小，差异有统计学意义（P<0.05）。VSD患儿的TVE、TVA、AV，ASD患儿的LA、LV、MVE、MVA、AV及PDA患儿的TVE、TVA、PV均较术前增大，差异有统计学意义（P<0.05）。结论 介入封堵术可以显著改善儿童左向右分流型先天性心脏病患者的心脏结构及血流动力学，是一种有效的治疗手段，值得推广。     

Safety of elective percutaneous peripheral revascularization in outpatients: A 10-year single-center experience

PurposeTo evaluate the safety and feasibility of peripheral percutaneous endovascular procedures in a large group of outpatients with peripheral arterial disease (PAD).Materials and methodsWe retrospectively evaluated all consecutive patients who underwent peripheral transluminal angioplasty (PTA) for PAD of the lower extremities as “Out-Patient Admission Protocol” (OPAP) from January 2005 until December 2015. A total of 498 consecutive patients (305 men and 193 women) with mean age of 66 ± 10 (SD) years (range: 37–90 years) were evaluated. By protocol, patients were expected to be discharged 6 hours after the procedure. Clinical profile, procedure details and technical success were reviewed. Complications, conversion rate, readmission rate and long-term follow-up were evaluated.ResultsNinety one percent of patients (454/498) suffered from claudication. Unilateral femoral access was performed in 75.4% (493/654) of procedures with a 6-French sheath in 80.7% (528/654) of procedures. Balloon PTA alone was performed in 17.3% (148/857) and stent placement in 82.7% (709/857) of treated segments. Technical success of lesion treatment was 98.2% (857/873). Closure devices were used in 55.4% (362/654) of procedures. Conversion and readmission rates were 1.8% (12/654) and 0.6% (4/654), respectively. Long-term follow-up was obtained in 386 target lesions, 5-year restenosis of lesion was 20.5% (79/386).ConclusionAs designed, the OPAP was feasible, safe and effective with very low conversion and complications rates. These results strongly support a larger use of such approaches as routine practice.