心电监护下微量泵输入多种血管活性药物治疗重症心力衰竭的临床护理观察

来源:用户上传      作者:李立青 马嘉琳

　　[摘要] 目的^察分析心电监护下微量泵输入多种血管活性药物治疗重症心力衰竭的临床护理观察。方法选择2019年 1月至2021年 1月在清远市人民医院重症加强护理病房（ICU）接受治疗的重症心力衰竭患者62例，按随机数字表法将其分为观察组（ n=32）与对照组（ n=30），其中对照组患者给予常规治疗，观察组在对照组基础上给予心电监护下微量泵输入多种血管活性药物治疗，两组均给予相关护理干预，监测两组心功能指标变化，判定其临床疗效，并采用清远市人民医院 ICU 自制满意度问卷调查评估满意度。结果干预前，两组心排血量（CO）、心脏指数（CI）及射血分数（EF）指标比较，差异无统计学意义（P >0.05），干预后，两组 CO、CI、EF 指标改善效果显著优于干预前，差异有统计学意义（ P <0.05），观察组 CO、CI、EF 指标改善效果显著优于对照组，差异有统计学意义（ P <0.05）;干预后观察组临床总有效率为90.63%、护理总满意率为93.75%显著高于对照组的56.67%和 60.00%，差异有统计学意义（P <0.05）。结论心电监护下微量泵输入多种血管活性药物治疗联合相应护理干预重症心力衰竭可有效改善患者心功能，提高临床疗效及对满意度情况，值得推广应用。
　　[关键词] 重症心力衰竭;血管活性药物;心电监护;微量泵;护理
　　[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616（2022）06-0105-04
　　Clinical nursing observation on treatment of severe heart failure by micropump infusion of various vasoactive agents under ECG monitoring
　　LI Liqing MA Jialin
　　Department of ICU， the Sixth Affiliated Hospital of Guangzhou Medical University， the People’s Hospital of Qingyuan， Guangdong， Qingyuan 511510， China
　　[Abstract] Objective To observe and analyze the clinical nursing observation of the treatment of severe heart failure by micropump infusion of various vasoactive agents under ECG monitoring. Methods A total of 62 patients with severe heart failure who were treated in the Intensive Care Unit （ICU） of People’s Hospital of Qingyuan from January 2019 to January 2021 were selected and divided into the observation group （n=32） and the control group （n=30） by the random number table method. The patients in the control group received conventional treatment， while the observation group received the micropump infusion of various vasoactive agents under ECG monitoring on the basis of the treatment in the control group. Relevant nursing interventions were given to both groups to monitor the changes in cardiac function indicators so as to determine the clinical efficacy of two kinds of treatments. In addition， the self-made satisfaction questionnaire of ICU department in People’s Hospital of Qingyuan was adopted to evaluate the patients’satisfaction. Results Before the intervention， there were no statistically significant differences in cardiac output （CO）， cardiac index （CI） and ejection fraction （EF） between the two groups （P >0.05）. After the intervention， the improvements of CO， CI， EF in the two groups were significantly greater than those before the intervention， with statistically significant differences （P <0.05）; The improvements of CO， CI， EF in the observation group was significantly greater than those in the control group， with statistically significant differences （P <0.05）; The total clinical effective rate （90.63%） and total nursing satisfaction rate （93.75%） of the observation group were significantly higher than those of the control group （56.67% and 60.00%）， with statistically significant differences （P <0.05）. Conclusion Micropump infusion of various vasoactive agents under ECG monitoring combined with corresponding nursing intervention for severe heart failure effectively improves the heart function of patients as well as clinical efficacy and satisfaction， and therefore， it is worthy of popularization and application.

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