Effect and nursing of biventricular resynchronization therapy on the treatment for patients with congestive heart failure
10.3760/cma.j.issn.1674-2907.2011.36.012
- VernacularTitle:双心室再同步化起搏治疗充血性心力衰竭患者的效果与护理
- Author:
Li CHANG
1
;
Li ZHOU
;
Yun YOU
;
Hong SU
Author Information
1. 江苏省徐州市中医院
- Keywords:
Heart failure;
Cardiac resynchronization therapy;
Nursing
- From:
Chinese Journal of Modern Nursing
2011;17(36):4439-4442
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects and nursing of biventricular resynchronization therapy on the treatment for patients with congestive heart failure.Methods NYHA grade of heart function,ORS duration of electrocardiogram,left ventricular ejection fraction ( LVEF),exercise tolerance of walking distance in 6 min were compared among 63 patients with congestive heart failure before and after they received biventricular resynchronization therapy.And the nursing measures for patients were summarized.Results Six months later after patients received such therapy,NYHA grade from (3.40 ± 0.50) that of preoperation improved to(2.30 ±0.60),ORS duration from preoperation( 144.68 ± 16.40) ms reduced to( 100.02 ± 14.76 ) ms,LVEF( ％ ) from (33.18 ±5.60 )increased to(41.08 ±7.45),walking distance in 6 min from(305.40 ±30.30)m improved to (406.20 ± 70.50) m,differences were statistically significant ( t =11.18,4.562,6.728,10.426; P ＜ 0.01 ).There was no patient died during 3 months - 24 months postoperation follow up.Conclusions Biventricular resynchronization therapy is one of effective treatments for patients with congestive heart failure,which can obviously improve heart function and life quality of patients.At the same time,it is important to ensure psychology nursing before operation, electrocardingraphy during operation, observation after operation,complication prevention,follow up and so on to be done very well.
