摘要
目的:探讨高龄老年急性心肌梗死患者的临床特点和护理措施。方法:回顾性分析我院186例急性心肌梗死老年患者,分为<75岁组和≥75岁组两组进行观察比较。结果:≥75岁组心肌梗死患者中女性所占比例、合并糖尿病、心力衰竭、死亡率等指标均明显高于<75岁组(P<0.01,P<0.05);而有明确诱因和出现典型心绞痛症状的发生率明显低于<75岁组(P<0.01)。结论:急救护理应强调有效内科治疗的重要性,预防和治疗并发症,严密监测病情,视病情调整患者的活动量,注意加强排便护理,对患者实施心身整体护理等措施。
Objective：To observe clinical features and nursing of old patients （≥65 years） with acute myocardial infarction （AMI）. Methods： Of 186 cases of elderly AMI patients were retrospective investigated, and divided into ≥75-year-old group and ≤74-year-old group for further analysis. Results： ≥75-year-old women patients with AMI were more common than that in ≤74-year-old group, and complication of diabetes mellitus and heart failure, total mortality rate were significantly higher than the ≤74-year-old group （P〈0.01 or P〈0.05）; while the incidence of obvious cause induced and typical symptoms of angina were significantly lower than that in ≤74-year-old group （P〈0.01）. Conclusion： Primary care should be focused on emphasizing the importance of internal medical treatment, prevention and treatment of complications, strict observation of the patients’ situation, and adjust positive activity depending on patients’ situation, and strengthening defecation of the patients and physical and psychological care integration administrated.
出处
《护理实践与研究》
2010年第18期62-64,共3页
Nursing Practice and Research
