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目的:观察心房扑动、心房颤动病人使用伊布利特转复过程中心率、节律的变化及并发症,并针对性护理,减少不良反应,提高生活质量。方法:32例心房扑动、心房颤动病人给予伊布利特复律,使用前做好宣教,掌握好药物的浓度及使用时间间隔,严密观察心率、节律,给予监测、心理护理、预防并发症等。结果:32例中转复23例,出现室早、室速各1例,心动过缓2例,其余不良反应6例。结论:心房扑动、心房颤动使用伊布利特过程中加强护理,可增强安全性,提高治疗效果及病人的生活质量。
OBJECTIVE: To observe the changes of heart rate, rhythm and complication of atrial flutter and atrial fibrillation in patients treated with ibutilide, and to provide targeted nursing care to reduce adverse reactions and improve quality of life. Methods: 32 cases of atrial flutter and atrial fibrillation patients given ibutilide cardioversion, good pre-mission education, good control of drug concentration and time interval, close observation of heart rate, rhythm, giving monitoring, psychological care, prevention of complications Wait. Results: Of the 32 cases, 23 cases were converted into complex ones. One case had ventricular tachycardia and ventricular tachycardia in 1 case, bradycardia in 2 cases and other adverse reactions in 6 cases. Conclusion: Atrial flutter and atrial fibrillation in the process of using ibutilide intensive care can enhance the safety and improve the therapeutic effect and the quality of life of patients.