Research on the impact of perioperative risk management based on evidence-based medicine on the effectiveness of coronary care unit arrhythmia radiofrequency ablation surgery
Objective To observe the impact of evidence-based medicine-based perioperative risk manage-ment on the effectiveness of radiofrequency ablation in coronary care unit(CCU)arrhythmia patients.Methods This study is a prospective study that selected 98 CCU arrhythmia patients admitted from May 2020 to March 2023 as the study subjects.They were divided into a conventional group(49 cases)and an experimental group(49 cases)using the computer grouping method.Both groups received radiofrequency ablation treatment,with the conventional group imple-menting routine perioperative management and the experimental group implementing evidence-based medicine-based perioperative risk management.The psychological status,cardiac function improvement,rehabilitation progress,and postoperative complications of the two groups of patients were compared.Results Under different management modes,the HAMA and HAMD scores of the experimental group were(21±5)and(24±5),respectively,which were lower than those of the conventional group[(24±5)and(27±5)].The left ventricular ejection fraction(LVEF)(60±10)％of the experimental group was higher than that of the conventional group(55±10)％,and the left ventricular end-diastolic dimension(LVDD)(40±10)mm was lower than that of the conventional group(45±10)mm.The CCU transfer time,bedtime activity time,gastrointestinal function recovery time,and hospitalization time of the experimental group were(50.2±10.2)hours,(1.2±0.3)days,(24.1±5.2)hours,and(8.5±1.5)days,respectively,which were lower than those of the conventional group[(55.3±10.8)hours,(2.2±0.8)days,(27.3±5.2)hours,and(10.2±2.3)days].The incidence of complications in the experimental group was 8％(4/49)lower than that in the conventional group 20％(10/49)(P＜0.05).Conclusion Perioperative risk management based on evidence-based medicine can improve the negative emotions of CCU arrhythmia patients,enhance surgical efficacy,accelerate the postoperative recovery process,and reduce surgical risks.
Arrhythmias,cardiacEvidence-based medicineRisk adjustmentRadiofrequency ablationRehabilitation research
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维普
