Open Access Article
Contemporary Nursing. 2023; 4: (10) ; 99-101 ; DOI: 10.12208/j.cn.20230485.
Analysis of risk factors and nursing strategies for inducing atrial fibrillation after percutaneous coronary intervention
经皮冠状动脉介入术后诱发房颤危险因素分析及护理对策
作者：
李祎妮 *
开远市人民医院 云南开远
*通讯作者：
李祎妮,单位：开远市人民医院 云南开远；
发布时间: 2023-10-15 总浏览量: 233
PDF 全文下载
引用本文
摘要
目的 本文分析经皮冠状动脉介入术后诱发房颤危险因素及制定针对性护理对策。方法 本次研究已通过医院伦理委员会审批，对52例在我院行经皮冠状动脉介入术治疗的患者进行分析研究（2021年1月-2023年1月），分析经皮冠状动脉介入术后诱发房颤的危险因素，对比房颤发生率。结果 PCI术后发生房颤的患者为13.46%，诱发房颤危险因素主要有：年龄、冠心病类型以及心源性休克、心力衰竭和是否服用β-受体阻滞剂、抗心率失常药物等，P＜0.05说明存在对比意义。结论 对经皮冠状动脉介入术后诱发房颤危险因素分析，可以有效提高治疗有效率，同时显著减少终点事件发生率，同时给予患者针对性的护理对策，在实际临床中的运用价值非常高，值得广泛推荐。
关键词： 术后诱发房颤危险因素；经皮冠状动脉介入术；危险因素；护理对策
Abstract
Objective This article analyzes the risk factors of inducing atrial fibrillation after percutaneous coronary intervention and formulates targeted nursing strategies. Methods This study has been approved by the hospital ethics committee and analyzed 52 patients who underwent percutaneous coronary intervention in our hospital from January 2021 to January 2023. The risk factors for inducing atrial fibrillation after percutaneous coronary intervention were analyzed and the incidence of atrial fibrillation was compared. Results 13.46% of patients developed atrial fibrillation after PCI, and the main risk factors for inducing atrial fibrillation include age, type of coronary heart disease, as well as cardiogenic shock, heart failure, and whether to take it or not β- Receptor blockers, antiarrhythmic drugs, etc., with P<0.05, indicate comparative significance. Conclusion Analyzing the risk factors for inducing atrial fibrillation after percutaneous coronary intervention can effectively improve treatment efficiency, significantly reduce the incidence of endpoint events, and provide targeted nursing strategies for patients. Its practical value in clinical practice is very high, and it is worth recommending widely.
Key words： Risk factors for postoperative induced atrial fibrillation; Percutaneous coronary intervention; Risk factors; Nursing strategies
参考文献 References
[1] 徐永玄,杨萍,郭涛.房颤发生机制及治疗新进展[J].昆明医科大学学报,2019,40(5):135-138.
[2] 牟改变,惠望春.延伸护理对老年冠心病经皮冠状动脉支架植入术后患者用药依从性的影响[J].贵州医药,2020, 44(09):1502-1503.
[3] MIRANDA H，SOUSA C，SANTOS H，et al. What is the real impact of on-site percutaneous coronary intervention? A propensity score matched analysis of patients admitted with acute coronary syndrome[J].Revista Portuguesa De Cardiol Engl Ed，2021，40（3）：169-188
[4] 卢飞,张伟,李茂琴.左心室应变和扭转与冠心病患者心脏功能水平的关系研究[J].中国心血管病研究,2019, 17(2): 143-146.
[5] ACC/AHA guideline on the primary prevention of cardiovascular disease：a report of the American college of cardiology/American heart association task force on clinical practice guidelines[J].Circulation，2019，140（11）：e596-646.
[6] LU TY，FORGETTA V，YU OHY，et al. Polygenic risk for coronary heart disease acts through atherosclerosis in type 2 diabetes[J].Cardiovasc Diabetol，2020，19（1）：12.
[7] 吕世琴,祝玲娟,朱剑.急性心肌梗死患者经皮冠状动脉介入术后MACEs发生的危险因素分析[J].中国医学创新,2022(14):104-107.
[8] 李瑞娜.重组人脑利钠肽对急性心肌梗死并心源性休克疗效及预后分析[J].安徽医药,2019,23(4):696-699.
引用本文
李祎妮, 经皮冠状动脉介入术后诱发房颤危险因素分析及护理对策[J]. 当代护理, 2023; 4: (10) : 99-101.