Nursing measures of microcirculation disturbance in emergency patients with acute myocardial infarction after intervention

Abstract

To explore the nursing measures taken for microcirculation disturbance in emergency patients with acute myocardial infarction after percutaneous coronary intervention. 100 cases of emergency acute myocardial infarction patients underwent percutaneous coronary intervention in our hospital from November 2017 to November 2019 were selected and randomly divided into the control group (50 cases) and the observation group (50 cases). The control group received routine nursing, while the observation group received targeted nursing measures on the basis of the control group. The incidence of microcirculation disturbance, left ventricular end diastolic dimension, left ventricular end systolic dimension, left ventricular ejection fraction and major adverse cardiac events were compared between the two groups. Compared with the control group (58.00 %), the incidence of microcirculation disturbance was significantly lower in the observation group (28.00 %) the difference was statistically significant (p<0.05). Compared with before nursing, left ventricular end diastolic dimension and left ventricular end systolic dimension in the two groups were significantly lower, left ventricular ejection fraction was significantly higher, the change range in the observation group was significantly greater than that in the control group and the differences were statistically significant (p<0.05). Compared with the control group (32.00 %), the incidence of mace in the observation group was significantly lower, and the difference was statistically significant (p<0.05). Active and effective nursing measures can not only effectively reduce the risk of microcirculation disturbance in emergency acute myocardial infarction patients after percutaneous coronary intervention, but also improve the cardiac function and reduce the incidence of mace, which is worthy of clinical reference.