心血管康复医学杂志2024，Vol.33Issue(2) ：198-202.DOI:10.3969/j.issn.1008-0074.2024.02.17

风险防范管理体系在急性ST段抬高型心肌梗死患者术后恢复中的应用价值分析

Application value analysis of risk prevention management system in postoperative recovery of patients with acute ST segment elevation myocardial infarction

冯雪花 李慧 叶奎
心血管康复医学杂志2024，Vol.33Issue(2) ：198-202.DOI:10.3969/j.issn.1008-0074.2024.02.17
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  • 万方数据

风险防范管理体系在急性ST段抬高型心肌梗死患者术后恢复中的应用价值分析

Application value analysis of risk prevention management system in postoperative recovery of patients with acute ST segment elevation myocardial infarction

冯雪花 1李慧 2叶奎2
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作者信息

  • 1. 陇南市第一人民医院普内科,甘肃陇南 746000
  • 2. 陇南市第一人民医院心内科,甘肃陇南 746000
  • 折叠

摘要

目的:对急性ST段抬高型心肌梗死(STEMI)患者采用风险防范管理体系,分析其在该类患者术后恢复中的应用价值.方法:将2021年1月至2023年1月本院接诊的106例STEMI患者根据颜色分组法分为常规组(n=53,采用常规管理)和风险防范组(n=53,应用风险防范管理体系),两组均干预3个月.对比两组患者干预前后凝血功能、心率(HR)、平均动脉压(MAP)水平,观察两组干预后恢复及不良事件发生情况.结果:与常规组比较,风险防范组住院时间[(12.73±2.56)d比(8.16±1.28)d]显著缩短,下床活动时间[(2.89±0.71)d比(5.01± 0.90)d]、睡眠时间[(5.24±1.26)h比(7.45±1.58)h]显著更长;干预后活化部分凝血活酶时间(APTT)[(32.79±2.72)s 比(36.28±2.83)s]、凝血酶时间(TT)[(13.05±0.94)s 比(15.44±1.22)s]显著更长,MAP水平[(61.95±3.60)mmHg 比(69.54±4.37)mmHg]显著更高,HR[(97.03±4.58)次/min 比(80.61±2.93)次/min]、纤维蛋白原(Fg)[(3.47±0.24)g/L 比(2.46±0.18)g/L]、D-二聚体(D-D)[(0.58±0.11)mg/L比(0.28±0.06)mg/L]水平显著降低(P均=0.001).风险防范组不良事件总发生率显著低于常规组(11.32％比28.30％,P=0.028).结论:STEMI患者术后采用风险防范管理体系可以显著改善其凝血功能,在降低不良事件发生率、促进患者恢复方面具有积极作用,建议临床推广.

Abstract

Objective:To apply risk prevention management system in patients with acute ST-segment elevation myocardi-al infarction(STEMI)and analyze its application value in postoperative recovery of these patients.Methods:A total of 106 STEMI patients admitted to our hospital from January 2021 to January 2023 were divided into routine group(n=53,re-ceived routine management)and risk prevention group(n=53,received risk prevention management system)according to color grouping method,both groups were intervened for three months.Blood coagulation function,heart rate(HR)and mean arterial pressure(MAP)levels before and after intervention,recovery after intervention and incidence of adverse e-vents were observed and compared between the two groups.Results:Compared with routine group,there was significant reduction in hospital stay[(12.73±2.56)d vs.(8.16±1.28)d],and significant rise in off-bed activity time[(2.89 ±0.71)d vs.(5.01±0.90)d]and sleep time[(5.24±1.26)h vs.(7.45±1.58)h];after intervention,there were significant rise in activated partial thromboplastin time(APTT)[(32.79±2.72)s vs.(36.28±2.83)s],thrombin time(TT)[(13.05±0.94)s vs.(15.44±1.22)s]and MAP level[(61.95±3.60)mmHg vs.(69.54±4.37)mmHg],and significant reductions in HR[(97.03±4.58)beats/min vs.(80.61±2.93)beats/min],levels of fibrinogen(Fg)[(3.47 ±0.24)g/L vs.(2.46±0.18)g/L]and D-dimer(D-D)[(0.58±0.11)mg/L vs.(0.28±0.06)mg/L]in risk prevention group,P=0.001 all.Overall incidence rate of adverse events in risk prevention group was significantly lower than that of routine group(11.32％vs.28.30％,P=0.028).Conclusion:The application of risk prevention management system after PCI in STEMI patients can significantly improve their coagulation function,and has a positive effect on reduc-ing the incidence of adverse events and promoting the recovery of patients,so it is recommended for clinical promotion.

关键词

心肌梗死/护理/功能恢复

Key words

Myocardial infarction/Nursing care/Recovery of function

引用本文复制引用

出版年

2024
心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子：1.157
ISSN：1008-0074
参考文献量18
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