护理干预减少AMI患者静滴FDP心肌耗氧量的效果观察

目的观察5种不同的护理干预对AMI患者静滴1，6-二磷酸果糖（FDP）时心率、血压及心肌耗氧量的影响。方法将符合纳入标准和排除标准的150例患者随机分为5组，对照组给予常规护理，A、B、C、D组分别在常规护理基础上酒精湿敷、湿热敷、皮肤按摩、湿热敷及皮肤按摩。患者开始静滴FDP时及结束时监测并记录患者的心率、血压、计算心肌耗氧量。结果输液结束时，A、B、C、D组的心肌耗氧量低于对照组。D组的心肌耗氧量低于A、B组。结论A、B、C、D组的护理干预能有效缓解患者静滴FDP局部疼痛引起的心肌耗氧量增加，D组的护理干预效果优于A、B组。

The observation of the effects of nursing intervention on relieving myocardial consumption (MVO2) of oxygen of AMI patients caused by infusion of FDP

Objective To observe the effects of five kinds of nursing on heart rate, blood pressure, MVO2 during infusion of FDP. Methods 150 AMI patients were divided randomly into five groups. Control group was treated with routine nursing A, B, C , D groups were treated with alcohol wet compress, wet and hot compress , local skin massage, wet and hot compress and local skin massage based on the routine nursing respectively. Heart rate, blood pressure, MVO2 were observed and recorded before and after infusion of FDP. Results The MVO2 of A , B, C , D groups were significantly lower than that of control group and the MVO2 of D group was significantly lower than that of A , B groups after infusion of FDP. Conclusion The nursing intervention of A, B , C, D groups can prevent the increasing of MVO2 caused by local pain effectively. The nursing intervention of D group is more effective than that of A, B groups.