摘要
目的分析急性心肌梗死后再灌注心律失常应用胺碘酮治疗的护理效果。方法选取我院收治的84例急性心肌梗死后再灌注心律失常患者作为研究对象,所有患者均应用胺碘酮治疗,治疗期间按照不同护理方法将其分为常规组与个体化组各42例,常规组给予常规护理,个体化组给予个体化护理,对比两组的护理效果。结果常规组的总有效率是81.0%,个体化组是92.9%,个体化组高于常规组,对比差异显著(P<0.05);对比两组患者治疗后的血压与心率,个体化组的心率低于常规组,差异显著(P<0.05);常规组的心室颤动与恶性心律失常发生率分别为21.4%、16.7%,个体化组分别为7.1%、4.8%,个体化组均低于常规组,对比差异显著(P<0.05)。结论急性心肌梗死后再灌注心律失常应用胺碘酮治疗的效果显著,治疗期间实施个体化护理,可确保患者生命体征稳定,且可明显降低心室颤动与恶性心律失常发生率。
Objective to analysis of reperfusion arrhythmia after acute myocardial infarction( mi) application of amiodarone therapy nursing effect. Methods Selection our hospital 84 cases of acute myocardial infarction after reperfusion arrhythmia patients as the research object,all patients were applied amiodarone treatment,during treatment according to different nursing methods will be divided into normal group and individual group of 42 cases,normal group was given routine nursing care,individualized group was given individualized care,compared two groups of nursing effect. Results the total effective rate was 81. 0% normal group,individual group is 92. 9%,contrast individualization is higher than the conventional group,significant difference( P < 0. 05); Compared two groups of patients after treatment of blood pressure and heart rate,individual's heart rate is lower than the conventional group,significant difference( P<0. 05); Normal group and the incidence of malignant arrhythmia of ventricular fibrillation were 21. 4%,16. 7%,individual group were 7. 1%,4. 8%,individualized group were lower than the conventional group,compared to significant difference( P<0. 05). Conclusion acute myocardial infarction after reperfusion arrhythmia application of amiodarone treatment effect is remarkable,implement individualized nursing during the treatment,to ensure patients' vital signs stable,and can significantly reduce the incidence of ventricular fibrillation and malignant arrhythmia.
关键词
急性心肌梗死
再灌注
心律失常
胺碘酮
护理
acute myocardial infarction
Reperfusion
Cardiac arrhythmias
Amiodarone
nursing
