急性心肌梗死行急诊经皮冠状动脉介入术后的早期康复护理

目的 探讨早期康复护理对急性心肌梗死（AMI）患者经皮冠状动脉介入术（PCI）后并发症及气血指标的影响.方法 选取2012年1月至2014年1月84例行急诊PCI的AMI患者,随机分为观察组和对照组,各42例.对照组患者术后行常规护理;观察组在对照组基础上行早期康复护理.干预前后采用美国M78162无创血流动力学监测仪测量两组患者血流动力学指标,观察两组患者并发症发生情况.结果 观察组术后第3天心输出量（CO）显著高于对照组同一时间段（P＜0.05）,平均脉压（MAP）显著低于对照组（P＜0.05）,而两组心率（HR）、收缩压（SBP）、舒张压（DBP）差异无统计学意义（P＞0.05）.观察组患者术后腹胀、穿刺点出血、排尿困难、腰酸背痛、烦躁失眠、坠积性肺炎发生率显著低于对照组,差异有统计学意义（P＜0.05）.观察组术后VAS疼痛评分显著低于对照组,住院时间少于对照组,而满意度评分高于对照组,差异有统计学意义（P＜0.05）.结论 早期康复护理有利于AMI患者急诊PCI术后心功能的恢复,降低术后不适感及并发症,缩短住院时间,提高患者满意度.

Early rehabilitation nursing in patients with acute myocardial infarction underwent emergency percutaneous coronary intervention

Objective To investigate the effect of early rehabilitation nursing on complications in patients with acute myocardial infarction （AMI） patients after pereutaneous coronary intervention （PCI）. Methods From January 2012 to January 2014, 84 AMI patients undergone emergency PCI were randomly divided into observation group and control group, 42 eases in the control group of patients underwent routine postoperative care, early in the observation group were based uplink rehabilitation care, before and after the intervention by the United States M78162 non-invasive hemodynamic monitoring hemodynamie parameters measured two groups of patients, complications were observed. Results The study group after the first 3 d heart Cardiac output （CO） were significantly higher than the same time period （P〈0.05）, while the average pulse pressure （MAP） was significantly lower than the control group （P〈0.05）, but the heart rate （HR）, systolic blood pressure （SBP）, diastolic blood pressure （DBP） were no significant difference two groups （P〉0.05）. In observation group, the postoperative abdominal dis- tention, puncture site bleeding, difficulty urinating, back pain, irritability, insomnia, hypostatie pneumonia inci- dence was significantly lower than the control group （P〈0.05）. Postoperative VAS pain assessment in observation group was significantly lower than the control group, the length of stay was less, while satisfaction scores were higher than the control group, the difference was statistically significant（P〈0.05 ）. Conclusion Early rehabilitation care in AMI patients with primary PCI can improve recovery of cardiac function and reduce postoperative discomfort and complications, shorter hospital stay and improve patient satisfaction.