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·胸部疾病·

心血管介入诊疗术患者心脏事件的高危因素分析及护理干预研 究

作者:李洁源 唐少梅 何彩勤 陈 渺

所属单位:广东省佛山市第一人民医院心内科 (广东 佛山 528000)

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摘要

】目的 观察分析心血管介入诊疗术患者心脏事件的高危因素分析以及探讨相应护理干预措施。方法 选择2010年1月 到2012年12月期间本院收治的行心血管介入诊疗术患者109例,根据患者手术开展前后是否出现心肌梗死或再梗 死、心力衰竭、恶性心律失常中任一心脏事件分为高危组及正常组。将两组所收集的数据用单因素回归分析,再对 危险因素进一步做多因素Logistic回归分析。结果 本研究中的12项影响因素均属于心血管介入诊治术过程中或后 引发心脏事件的危险因素;采用多因素Logistic回归分析,年龄≥60岁(RR=4.02)、高血脂(RR=3.98)、吸烟史≥2 年(RR=4.36)、合并高血压(RR=5.4)、合并糖尿病(RR=7.61)、心绞痛病史(RR=5.34)、心肌梗死病史(RR=5.55)、脑 血管意外病史(RR=4.21)、心力衰竭病史(RR=4.19)等因素属于高危因素。结论 心血管介入诊疗术开展前后心脏事 件发生的高危因素多且复杂,应引起高度重视,适当采取对症护理措施,以降低心脏事件发生率。

Objective To explore the high risk factors of cardiac events in patients with cardiovascular interventional therapy and nursing intervention. Methods From January 2010 to December 2015, 109 cases of patients with cardiovascular interventional diagnosis and treatment were divided into high risk group and normal group according to whether there was myocardial infarction or re-infarction, heart failure and malignant arrhythmia before and after operation. A single factor regression analysis was used to collect the data from the two groups, and then more factors Logistic regression analysis was used. Results The 12 influencing factors were the risk factors of cardiac events during the cardiovascular interventional therapy. Age≥60 (RR=4.02), high blood lipid (RR=3.98), smoking history≥2 years (RR=4.36), combined hypertension (RR=5.4), complicated with diabetes (RR=7.61), history of angina pectoris (RR=5.34), history of myocardial infarction (RR=5.55), history of cerebrovascular accident (RR=4.21), history of heart failure (RR=4.19) were the high risk factor. Conclusion The high risk factors of cardiac events before and after cardiovascular interventional diagnosis and treatment are many and complex, appropriate symptomatic care measures are used to reduce the incidence of cardiac events.

【关键词】心血管介入;心脏事件;高危因素

【中图分类号】R473.5

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.01.010

前言

目前,心血管介入诊疗术在心脏病临床治疗中的 发挥了重要的作用[1-2],其在手上开展前后较容易引 发心肌梗死或再梗死、心力衰竭、恶性心律失常等不 良心脏事件,因此预防及减少心脏事件的发生具有 重要意义[3]。本研究对本院近3年来收治的行心血管 介入诊疗术患者的临床资料进行回顾性分析,旨在探 讨心血管介入诊疗术中或术后产生心脏事件的高危因 素,并根据结果早期制定针对性护理干预措施,为在临床治疗中预防心脏事件的发生提供理论支持,报道 如下。