多元化平衡护理在老年心肌梗死患者便秘治疗中的效果评价

目的 探讨中西医多元化护理对改善老年心肌梗死患者便秘效果及对生命体征的影响.方法 选择心内科收治的140例老年急性心肌梗死患者为研究对象.随机分为对照组和观察组,各70例.对照组常规护理;观察组实施腹部环形按摩,子午流注卯时指压穴位及中药袋熨敷,特异性拍打腹部等多元化中西医综合护理,但不使用任何缓泻剂.治疗5d评定临床疗效,记录首次排便时间、排便引起的并发症、排便即刻及排便后20 min生命体征变化.结果 观察组的临床有效率明显高于对照组,首次排便时间低于对照组;排便即刻及排便后20 min的心率、血压、心肌耗氧量数值均明显低于对照组,且干预后2周内无任何排便诱发的并发症,对照组因排便引发并发症发生率(35.7％)明显高于观察组(0.0％),P＜ 0.05.结论 老年急性心肌梗死患者早期给予中西医多元化护理干预,可标本兼顾,明显改善排便症状,有效降低由便秘诱发的心血管不良反应,提高生存质量,积极改善预后,综合疗效优于传统治疗,值得推广.

Diversified balance nursing in treatment for constipation in elderly patients with myocardial infarction

Objective To study Chinese and western medical diversified balance nursing for improving the treatment effect of constipation in elderly patients with myocardial infarction (MI) and its impact on the vital signs.Methods 140 elderly patients with acute MI treated at the department of cardiology were selected as study objects and were randomly divided into a control group and an observation group,70 cases for each group.The control group were routine cared.The observation group were circularly massaged abdomen,acupressured points at meridian lingers Maoshi,and iron applied traditional Chinese medicine bag,specificly patted belly,etc.but used no delay evacuant.After 5 d treatment,the clinical curative effect was evaluated and the time for first defecation,complications caused by defecation,and vital signs when defecating and 20 min after defecation recorded.Results The clinical efficacy was obviously higher,the time for first defecation shorter,and the heart rate,blood pressure,and myocardial oxygen consumption when defecating and 20 min after defecation significantly lower in the observation group than in the control group and 2 weeks after intervention no complications induced by defecation occurred (P＞0.05).The incidence of complications induced by defecation was 35.7％ in the control group and 0.0％ in the observation group (P ＜ 0.05).Conclusions Chinese and western medical diversified balance nursing for elderly patients with acute MI can obviously improve bowel symptoms,reduce cardiovascular adverse reactions induced by constipation,improve the quality of survival,and actively improve the prognosis and the comprehensive curative effect is superior to the traditional treatment,so it is worth being generalized.