急性ST段抬高型心肌梗死行急诊PCI应用盐酸替罗非班的观察与护理

目的探讨急性ST段抬高型心肌梗死(STEMI)患者行急诊经皮冠状动脉介入治疗(PCI)中应用Ⅱb/Ⅲa受体拮抗剂盐酸替罗非班治疗的观察与临床护理措施。方法选择急诊入院的STEMI患者230例,随机分为观察组(PCI+盐酸替罗非班)115例和对照组(直接PCI)115例,收集两组患者临床护理资料进行回顾性分析,分析观察要点和护理措施。结果观察组有35例患者出现不同部位、不同程度出血倾向,总出血率30.43%;对照组中10例患者出现出血倾向,均为穿刺点渗血,出血率8.70%;两组间出血率比较差异具有显著性(P<0.05);发生出血倾向的患者在及时停药或减量、弹力绷带加压包扎等措施下均顺利完成治疗,无死亡病例。结论在急诊PCI术中应用盐酸替罗非班,护士需重点观察患者有无出血倾向,从而提高介入治疗的安全性。

Observation and Care of Acute ST-segment Elevation Myocardial Infarction Undergoing Emergency PCI Applications Tirofiban Hydrochloride

Objective To explore the observation and clinical nursing measures of acute ST segment elevation myocardial infarction（STEMI）patients underwent emergency PCI therapy in application of Ⅱ b/Ⅲa receptor antagonists tirofiban.Methods Selected 230 cases of STEMI patients,randomLy divided into observation group（PCI＋tirofiban hydrochloride） in 115 cases and control group（PCI） in 115 cases,collected two groups’ clinical care information and retrospectively analyzed the main points and nursing measures.Results The observation group 35 patients appeared different parts,different bleeding tendency,the total bleeding rate was 30.43%;and control group 10 patients appeared the bleeding tendency,all puncture oozing,bleeding rates was 8.70%;bleeding rate between two groups was significant（P0.05）.no deaths.Conclusion In emergency PCI use tirofiban hydrochloride,the nurses have to focus on patients’ bleeding tendency,so as to improve the interventional therapy safety.