首页|心房颤动冷冻球囊消融术围手术期护理方案的构建及应用

心房颤动冷冻球囊消融术围手术期护理方案的构建及应用

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目的 探讨心房颤动冷冻球囊消融术围手术期护理方案的构建及应用.方法 选取2020年9月至2021年8月及2021年10月至2022年9月在上海交通大学医学院附属瑞金医院接受冷冻球囊消融术的260例患者为研究对象,将2020年9月至2021年8月未接受围手术期护理方案的130例患者作为对照组,2021年10月至2022年9月接受围手术期护理方案的130例患者为研究组.观察两组一般临床资料及术后24 h内常见并发症发生率及疼痛情况,以评价该护理方案的效果.结果 两组年龄、性别、体重指数、学历、婚姻、付费方式、术中肝素用量、穿刺部位、凝血酶原时间、激活全血凝血时间、国际标准化值、既往消融次数比较,差异均无统计学意义(P>0.05).研究组肢体麻木发生低于对照组(P<0.05);两组术后4、8 h患者不同疼痛程度比较,差异有统计学意义(P<0.05).结论 心房颤动冷冻球囊消融术围手术期护理方案可降低术后并发症发生率,增加患者舒适度.
Construction and application of perioperative nursing program for cryoballoon ablation of atrial fibrillation
Objective lo explore the construction and application of a perioperative nursing program for cryoballoon ablation of atrial fibrillation.Methods A total of 260 patients who underwent cryoballoon ablation at Ruijin Hospital,Shanghai Jiao Tong University School of Medicine from September 2020 to August 2021 and from October 2021 to September 2022 were selected as the study subjects,and 130 patients who did not receive perioperative nursing program from September 2020 to August 2021 were selected as the control group,and 130 patients from October 2021 to September 2022 who accepted the perioperative nursing program were the study group.The general clinical data of patients in both groups and the incidence of common complications and pain in the 24 h postoperative period were observed to evaluate the applicability of the nursing program.Results There were no significant differences in age,sex,body mass index,education background,marriage,payment method,intraoperative heparin dosage,puncture site,thrombin time,whole blood coagulation time,international standardized value,and previous ablation times between the two groups(P>0.05).The incidence of limb numbness in the study group was lower than that in the control group(P<0.05).The different pain levels 4 and 8 h after operation between the two groups,the difference was statistically significant(P<0.05).Conclusion The perioperative nursing program for cryoballoon ablation of atrial fibrillation can reduce the incidence of postoperative complications and increase patient comfort.

Cryoballoon ablationAtrial fibrillationPerioperative nursing

董凤伟、黄玺、吴清、康磊

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上海交通大学医学院附属瑞金医院心血管内科,上海 200025

上海交通大学护理学院,上海 200025

冷冻球囊消融 心房颤动 围手术期护理

国家自然科学基金青年科学基金资助项目上海交通大学医学院附属瑞金医院院级课题

72104078RJHK-2022-28

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(10)
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