围术期系统护理干预在急性主动脉夹层患者血压控制中的应用(1)
[摘要] 目的 探究围术期系统护理干预在急性主动夹层患者血压控制中的应用效果。 方法 选取哈尔滨医科大学附属第一医院2014年6月～2016年6月收治的80例急性主动脉夹层患者，采取随机数字表法分为对照组与观察组，每组各40例，对照组仅给予常规护理，观察组在对照组基础上给予围术期系统护理干预，对比两组患者治疗前后血压水平、疼痛评分、焦虑和抑郁评分、并发症发生率。 结果 两组治疗后收缩压、舒张压、疼痛评分均较治疗前降低，观察组较对照组降低更加显著，差异有统计学意义(P < 0.05)。两组治疗后汉密尔顿焦虑量表与汉密尔顿抑郁量表评分均较治疗前降低，观察组较对照组降低更加显著，差异有统计学意义(P < 0.05)。观察组并发症发生率较对照组低，差异有统计学意义(P < 0.05)。 结论 在常规护理基础上对急性主动脉夹层患者实施围术期系统护理干预可有效控制血压，缓解疼痛及焦虑抑郁情绪，降低并发症发生率，安全性较高。
[关键词] 围术期系统护理干预；急性主动脉夹层；血压
[中图分类号] R473.6 [文献标识码] A [文章编号] 1673-7210(2017)01(a)-0166-04
[Abstract] Objective To explore application effect of perioperative systemic nursing intervention in blood pressure control of patients with acute aortic dissection. Methods 80 patients with acute aortic dissection treated in the First Affiliated Hospital of Harbin Medical University from June 2014 to June 2016 were selected. All the patients were divided into control group and observation group according to the random number table， 40 cases in each group. Control group patients were given routine nursing only， observation group patients were given perioperative nursing systemic intervention on the basis of control group. Blood pressure， pain score， anxiety and depression score before and after treatment， incidence rate of complication between two groups were compared. Results The systolic pressure， diastolic pressure and pain scores of two groups after treatment were lower than those before treatment， observation group was significantly lower than control group， with statistical differences (P < 0.05). HAMA and HAMD scores of two groups after treatment were lower than those before treatment， observation group was significantly lower than control group， with statistical differences (P < 0.05). Incidence rate of complication in observation group was lower than that in control group， with statistical difference (P < 0.05). Conclusion Taking perioperative systemic nursing intervention on the basis of conventional nursing for the patients with acute aortic dissection can effectively control blood pressure， relieve pain and anxiety depression， reduce the incidence rate of complication， with higher security.
[Key words] Perioperative systemic nursing intervention； Acute aortic dissection； Blood pressure
急性主動脉夹层作为一种严重的心血管疾病，主要是指血液通过主动脉内膜破裂后进入到主动脉中层而形成夹层血肿，后沿着主动脉壁发生延伸及剥离等病理改变，具有起病急、病情进展快、并发症多、病死率较高等特点，对患者的生命健康造成较大影响[1]。目前针对急性主动脉夹层的治疗仍以有效阻止夹层血肿的解离为重点，同时给予药物治疗以达到降低异常升高的收缩压及舒张压、缓解疼痛的目的[2]。在治疗期间配合妥善的护理对策同样至关重要，但以往临床工作中实施的常规护理仅可满足患者基本需求，现本研究加用围术期系统护理干预，观察其效果。, http://www.100md.com(王欢欢 马丽园)
[关键词] 围术期系统护理干预；急性主动脉夹层；血压
[中图分类号] R473.6 [文献标识码] A [文章编号] 1673-7210(2017)01(a)-0166-04
[Abstract] Objective To explore application effect of perioperative systemic nursing intervention in blood pressure control of patients with acute aortic dissection. Methods 80 patients with acute aortic dissection treated in the First Affiliated Hospital of Harbin Medical University from June 2014 to June 2016 were selected. All the patients were divided into control group and observation group according to the random number table， 40 cases in each group. Control group patients were given routine nursing only， observation group patients were given perioperative nursing systemic intervention on the basis of control group. Blood pressure， pain score， anxiety and depression score before and after treatment， incidence rate of complication between two groups were compared. Results The systolic pressure， diastolic pressure and pain scores of two groups after treatment were lower than those before treatment， observation group was significantly lower than control group， with statistical differences (P < 0.05). HAMA and HAMD scores of two groups after treatment were lower than those before treatment， observation group was significantly lower than control group， with statistical differences (P < 0.05). Incidence rate of complication in observation group was lower than that in control group， with statistical difference (P < 0.05). Conclusion Taking perioperative systemic nursing intervention on the basis of conventional nursing for the patients with acute aortic dissection can effectively control blood pressure， relieve pain and anxiety depression， reduce the incidence rate of complication， with higher security.
[Key words] Perioperative systemic nursing intervention； Acute aortic dissection； Blood pressure
急性主動脉夹层作为一种严重的心血管疾病，主要是指血液通过主动脉内膜破裂后进入到主动脉中层而形成夹层血肿，后沿着主动脉壁发生延伸及剥离等病理改变，具有起病急、病情进展快、并发症多、病死率较高等特点，对患者的生命健康造成较大影响[1]。目前针对急性主动脉夹层的治疗仍以有效阻止夹层血肿的解离为重点，同时给予药物治疗以达到降低异常升高的收缩压及舒张压、缓解疼痛的目的[2]。在治疗期间配合妥善的护理对策同样至关重要，但以往临床工作中实施的常规护理仅可满足患者基本需求，现本研究加用围术期系统护理干预，观察其效果。, http://www.100md.com(王欢欢 马丽园)