急性主动脉夹层护理研究

目的总结急性主动脉夹层的护理经验,以便采取更有效的护理措施,降低患者急性期病死率。方法将急性主动脉夹层患者72例分为实验组与对照组,对照组给予常规护理,实验组主要采取绝对卧床休息、镇静止痛、严格控制血压心率、心理疏导及排便管理等主要护理措施,患者离院时对两组护理结果进行对比分析。结果经统计学处理,P〈0.05,两组护理结果对比有显著性差异。结论严密观察病情变化,及时镇静止痛、降压、控制心率,加强心理护理与排便管理降低左心室收缩力和收缩速度是阻止夹层血肿进一步扩展,提高急性主动脉夹层患者抢救成功率的关键。

Nursing research in acute aortic dissection

Objective： To summarize the nursing experience in acute aortic dissection in order to take more effective nursing interventions to reduce mortality in patients with acute phase.Methods： Seventy-two cases of acute aortic dissection patients were divided into the experimental group and the control group.The patients in the control group were given conventional care.The patients in the experimental group mainly took absolute bed rest,sedation and pain relief,strict control of blood pressure and heart rate,psychological counseling and defecation management of primary care measures.Results： The nursing outcomes of two groups were significantly different（P0.05）.Conclusion： The close observation of changes in condition,timely sedation and pain relief,blood pressure and heart rate control,strengthen psychological care and bowel management can lower left ventricular contractile force and contraction speed.Consequently,the further expansion of hematoma is prevented and the success rate of resuscitation in patients with acute aortic dissection is improved.