| 范羽飞,郑雪梅.经皮肺动脉去神经术治疗肺动脉高压患者的围术期护理[J].安徽医药,2018,22(8):1621-1624. |
| 经皮肺动脉去神经术治疗肺动脉高压患者的围术期护理 |
| Perioperative nursing in patients with pulmonary arterial hypertension percutaneous in the treatment of pulmonary artery denervation |
| 投稿时间：2017-07-26 |
| DOI： |
| 中文关键词: 肺动脉高压 经皮肺动脉去神经术 护理 |
| 英文关键词: Pulmonary arterial hypertension Percutaneous pulmonary artery denervation Nursing |
| 基金项目:南京市卫计委医学科技发展项目(YKK16144) |
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| 中文摘要: |
| 目的 探讨经皮肺动脉去神经术(PADN)治疗肺动脉高压(PAH)患者围手术期护理策略。方法 回顾性分析并总结2012年4月至2015年12月南京医科大学附属南京医院行PADN的92例PAH患者的临床资料及护理策略,包括术前评估指导、术后穿刺部位观察、并发症监测、疼痛护理及健康教育。结果 92例患者均顺利完成手术,术后1 h 42例(46%)患者主诉胸痛,疼痛数字评分(2.4±0.6)分,24 h后4例(4.3%)患者主诉胸部不适,均在术后2~5 h症状缓解,未使用药物镇痛。术后4例患者发生室上性心动过速,2例患者发生房颤,使用抗心律失常药物后均恢复窦性心律,1例患者发生室性心动过速行电复律后转复。92例患者均安全出院。术后随访1年,94%的患者血流动力学指标取得成功,运动能力、心脏功能获得显著改善,PAH相关事件及死亡减少。结论 有针对性的围手术期护理策略对于减少手术并发症,改善疾病预后具有关键作用。 |
| 英文摘要: |
| Objective To discuss the strategies of the percutaneous pulmonary artery denervation (PADN) applied for patients suffering from pulmonary arterial hypertension (PAH).Methods 92 PAH patients,received PADN in Nanjing First Hospital from April 2012 to December 2015 were retrospectively analyzed,including preprocedual nursing assessment and guidance,arterial puncture sits and complications observations,post-operative pain nursing and health education.Results All patients were received PADN successfully,among which,42 patients complained for chest pain 1 hour later,the numeric rating scale was 2.4±0.6. Except of 4 patients complained for chest discomfort,they relieved in 24 h,without drug treatment. After PADH,there were 4 cases of superventricular tachycardia,two cases of atrial fibrillation (AF) and one care of ventricular tachycardia,which were return of normal after drug treatment or electrical cardioversion. All the patients were discharged safely. After 1-year follow up,hemodynamic index,athletic ability,cardiac function were improved significantly in 94% of these patients. The incidence of related complications and mortality were reduced.Conclusions The specific perioperative nursing care strategies play crucial roles in reducing the risk of procedure-related complications and resulting in better clinical outcomes among these PAH patients receiving PADN. |
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