目的：分析冠状动脉介入手术之后并发症发生的相关情况，探讨其发生原因及相应的护理措施，为临床治疗提供更为科学、有效的护理方案。方法将达州市中心医院2011年6月~2013年8月收治的245例实施冠状动脉介入手术的患者，观察其术后出现的并发症情况。将其中发生并发症的74例患者，分为观察组和对照组，每组各37例，分别给予有针对性的个性化护理和常规护理，比较护理效果，总结护理要点。结果观察组采取有针对性的个性化护理后，无低血压和尿潴留，出血1例，急性闭塞1例，迷走神经反射1例，共3例(8.11%)；对照组给予常规护理后，出血4例，低血压2例，尿潴留3例，急性闭塞4例，迷走神经反射3例，共16例(43.24%)，两组比较差异有统计学意义(P<0.05)。结论患者在进行冠状动脉介入术后，应观察是否发生并发症，并及时采取有针对性的护理方法，降低并发症的发生率。%Objective To analyse the occurrence cause of complication after coronary intervention therapy, and explore the reasons and nursing measures, for the clinical treatment to provide more scientific and effective care program. Methods From June 2011 to August 2013, in Central Hospital of Dazhou City, 245 patients treated with percutaneous coronary intervetion were selected and the complication after coronary intervention therapy were observed. 74 patiens with complication after coronary intervention therapy were divided into observation group and control group, with 37 cases in each group. The observation group were treated with targeted personalized care, and the control group were treated with usual care. Then the reasons were analysed, the nursing effect were compared and the key points of nursing were summarized. Results After treated by targeted personalized care, in the observation group, 1 case was hemorrhage, no case was hypotension, no case was urinary retention, 1 case was acute occlusion and 1 case was vagal reflex, total were 3 cases (8.11%). After treated by usual care, in the control group, 4 cases were hemorrhage, 2 cases were hy-potension, 3 cases were urinary retention, 4 cases were acute occlusion and 3 cases were vagal reflex, total were 16 cases (43.24%). The nursing measures with pertinency could reduce the incidence of complication effectively. Conclu-sion After the coronary intervention therapy, occurrence situation of complication should be observed, the relevant nursing measures should be applied timely, it can reduce the incidence of complications.
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