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目的观察冠状动脉旁路移植术治疗重症冠心病的护理经验。方法选取医院收治的患者45例为研究对象,随机分为观察组(23例)和对照组(22例)。所有患者均采用冠状动脉旁路移植术来进行治疗,对照组采用常规护理,观察组采用围术期护理。观察2组患者的治疗效果、护理满意度以及并发症发生概率。结果观察组治疗总有效率为95.65%,高于对照组的63.64%(P<0.05);观察组护理满意度为91.30%,高于对照组的59.09%(P<0.05);观察组出现肺部感染1例(4.35%),对照组出血心包堵塞2例(9.09%)、肺部感染3例(13.64%)、急性心肌梗死1例(4.54),其并发症发生率为27.27%,2组比较差异有统计学意义(P<0.05)。结论对冠状动脉旁路移植术治疗重症冠心病患者实施围术期护理具有良好的临床症状,值得在临床中推广和应用。
Objective To observe the nursing experience of coronary artery bypass grafting in the treatment of severe coronary heart disease. Methods Forty-five patients admitted to hospital were selected as study subjects and randomly divided into observation group (n = 23) and control group (n = 22). All patients were treated by coronary artery bypass grafting. The control group received routine nursing and the observation group received perioperative nursing. The treatment effect, nursing satisfaction and the probability of complication in the two groups were observed. Results The total effective rate of the observation group was 95.65%, which was higher than that of the control group (63.64%, P <0.05). The nursing satisfaction of the observation group was 91.30%, higher than that of the control group (59.09%, P <0.05) 1 case (4.35%), 2 cases (9.09%) in control group, 3 cases (13.64%) in lung infection and 1 case (4.54) in acute myocardial infarction. The complication rate was 27.27%, 2 The difference was statistically significant (P <0.05). Conclusion Perioperative nursing of coronary artery bypass grafting in patients with severe coronary heart disease has good clinical symptoms and should be popularized and applied in clinical practice.