Abstract：Objective: To study the clinical nursing effect for patients with acute myocardial infarction (AMI) and treated by transradial emergency PCI (TE-PCI). Methods: A total of 82 cases of AMI patients treated by TE-PCI in our hospital from January 2014 to December 2016, After TE-PCI, give comprehensive care. Before TE-PCI treatment and 7d after TE-PCI treatment, Quality of life in angina pectoris, anxiety status, depressedand perioperative complications of patients in thewere observed. Results: After TE-PCI treatment, The scores of Quality of life in angina pectoris in all patients were higher than those before treatment, anxiety and depression scores were lower than those before treatment, and the difference was statistically significant (p<0.05). The incidence of perioperative complications was 13.61%, the rate of two infarction was 0%. Conclusion: Comprehensive nursing in combination with TE-PCI in treating patients with AMI can effectively improve the levels of markers of myocardial injury and inflammatory factors, enhance the quality of life of the patients, and the incidence rate of postoperative complications is low, so the therapy is worthy of clinical application.
[1] Kochergina AM, Kashtalap VV, Kochergin NA, et al. In-hospital outcomes and complications of percutaneous coronary interventions in acute ST-elevation myocardial infarction in different age groups[J].Kardiologiia, 2016, 56(9):21~26. [2] Hess CN, Peterson ED, Neely ML, et al. The learning curve for transradial percutaneous coronary intervention among operators in the united states: a study from the national cardiovascular data registry[J].Circulation, 2014, 129(22): 2277~2286. [3] 李春华.行经皮冠状动脉介入术的急性心肌梗死患者的围术期护理[J].中国医科大学学报,2017,46(2):181~183. [4] 汪海燕,孔艳,瑞琼,等.应用综合护理干预对冠心病介入治疗患者的临床效果观察[J].安徽医药,2014,18(10):2011~2012. [5] 马静,王保海,吴平平,等.延续性心理护理对AMI恢复期抑郁症相关的认知及躯体症状改变的影响[J].重庆医学,2016,45(5):716~718. [6] 张秀敏.临床护理路径在冠心病介入治疗中的护理效果探讨[J].中国继续医学教育,2016,8(36):180~181. [7] 向世兰,石爱军,石虹.循证护理对冠心病介入治疗术后并发症及生活质量的影响[J].实用临床医药杂志,2014,18(10):3~5. [8] 薛雅瑜.优化急诊护理流程对急性心肌梗死患者救治效果及预后的影响[J].现代中西医结合杂志,2015,24(32):3637~3638.
2017, Vol. 23 
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