《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (09): 821-822.

• 康复护理 • 上一篇    下一篇

老年冠心病联合介入诊疗临床护理研究

贾利新; 刘春会; 张玉霄; 卢才义   

  1. 解放军总医院老年心血管病研究所; 解放军总医院老年心血管病研究所 北京市
  • 收稿日期:2006-04-14 出版日期:2006-09-01 发布日期:2006-09-01

Characteristics and Outcome of Elderly Patients with Coronary Artery Disease after Combined Interventional Procedure

JIA Li-xin,LIU Chun-hui, ZHANG Yu-xiao, et al   

  1. The Institute of Geriatric Cardiology, The General Hospital of Chinese PLA, Beijing 100853, China
  • Received:2006-04-14 Published:2006-09-01 Online:2006-09-01

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摘要： 目的认识老年人行冠心病联合介入诊疗(指同一次操作中实施并完成的介入项目超过1项)存在的问题并提出护理对策。方法对连续住院的拟行冠心病联合介入诊疗的69例病例按年龄分为老年组(年龄≥65岁)与普通组(年龄18～65岁)。术前充分讨论拟定个体联合介入方案,制定手术并发症及不良反应防治预案。比较以下指标:年龄、成功率、并发症、病死率、费用、操作时间、透视时间、造影剂用量。结果两组成功率、并发症和病死率基本相同,但老年组的费用、操作和透视时间及造影剂用量明显增多。结论谨慎施行联合介入诊疗方案老年组与普通组能取得相同的手术效果,并发症和病死率增加不明显。老年组手术费用高、操作和透视时间长及造影剂用量大。护理对策:高度重视老年造影剂肾脏损害的预防;手术前对患者进行全面的病情评估;加强围手术期的护理。

关键词: 老年人, 冠状动脉性心脏病, 联合介入治疗, 护理

Abstract: ObjectiveTo investigate the characteristics and outcome of elderly coronary artery disease (CAD) patients who received combined interventional procedures (CIP). Methods69 consecutive patients who underwent CIP were divided into aged group (≥65 years) and adult group (18~65 years). Individualized procedure was made before CIP considering the features of each case. The following items were compared: success rate, complications, mortality, cost, procedure time, X-ray exposured time and contrast dosage used. ResultsThere were no significant differences between the 2 groups in success rate, complications and mortality. But the cost, procedure time, X-ray exposure time and the contrast dosage were significantly higher in the aged group. ConclusionThe elderly patients could get the same clinical results as those young and middle-aged patients from CIP, but the cost, procedure time, and X-ray exposure time and the contrast dosage were significantly higher, that more attention should be paid to the kidney damage caused by contrast.

Key words: elder, coronary artery disease, combined intervention procedure, nurse