后菊珍

【摘要】目的：探析并說明在不穩(wěn)定型心絞痛的臨床治療中采用護理干預能夠造成的影響。方法：結合患者心血管疾病病情、疾病歷史、治療情況、年齡、性別、相關疾病等指標，抽取2021年1月—2022年12月符合研究樣本選擇標準的患者32例作為觀察組；結合本院情況，抽取以往和以上指標相符合，且就不穩(wěn)定型心絞痛接受醫(yī)療措施的32例患者為對照組。對照組所有患者治療中采用常規(guī)護理，而觀察組在常規(guī)護理基礎上采用綜合護理。對比兩組患者心功能、風險發(fā)生狀況及生活質量評分。結果：觀察組患者該階段心功能狀況較之對照組患者明顯更健全（P<0.05）；觀察組發(fā)生不良反應的概率明顯低于對照組（P<0.05）；在生活質量的統(tǒng)計和對比中，觀察組得分明顯更高（P<0.05）。結論：較之于常規(guī)護理，采用護理干預注重在藥物使用、不良行為控制方面指導患者，有利于提高患者心功能，降低不良反應發(fā)生率，提升生活質量。

【關鍵詞】不穩(wěn)定型心絞痛；護理干預；治療效果；心功能；生活質量

Observation on the effect of nursing intervention on the clinical efficacy of patients with unstable angina pectoris

HOU Juzhen

Peoples Hospital of Weiyuan County， Gansu， Dingxi， Gansu 748200， China

【Abstract】Objective：To explore and explain the impact of nursing intervention in the clinical treatment of unstable angina pectoris. Methods：Based on the condition of cardiovascular disease，disease history，treatment statue，age，sex，related diseases and other indicators，32 patients who met the selection criteria of study samples from January 2021 to December 2022 were selected as the observation group；According to the situation of our hospital，32 patients who met the previous and above indicators and received medical measures for unstable angina pectoris were selected as the control group.All patients in the control group received routine nursing during treatment，while the observation group received comprehensive nursing on the basis of routine nursing.The cardiac function，risk occurrence and quality of life scores of the two groups were compared.Results：The cardiac function of the patients in the observation group was significantly better than that in the control group（P<0.05）；The probability of adverse reactions in the observation group was significantly lower than that in the control group（P<0.05）；In the statistics and comparison of quality of life，the observation group scored significantly higher （P<0.05）. Conclusion：Compared with routine nursing，adopting nursing intervention focuses on guiding patients in drug use and controlling adverse behavior，which is beneficial to improve patient cardiac function，reduce the incidence of adverse reactions，and improve quality of life.

【Key？Words】Unstable angina pectoris； Nursing intervention； Treatment effect； Cardiac function； Quality of life

不穩(wěn)定型心絞痛是一種癥狀，復發(fā)性極強，多發(fā)于中老年人，結合其他慢性疾病，使得患者因為這種疾病所引發(fā)癥狀而造成的死亡率在一定程度上升高。在病理上，不穩(wěn)定型心絞痛介于勞累性穩(wěn)定型心絞痛、急性心肌梗死、猝死，是一種臨床表現，盡管有學者認為這是一種慢性疾病[1]。在不穩(wěn)定型心絞痛發(fā)病機制的研究中，當前多認為這種癥狀會在冠脈阻塞之后發(fā)生，并且會隨著時間、疼痛癥狀不斷加重，此外，多項研究也發(fā)現這種癥狀和機體粥樣瘤表面纖維板破裂存在重要聯系，因為這一情況會直接導致血小板發(fā)生黏附。不穩(wěn)定型心絞痛較之于穩(wěn)定型心絞痛在發(fā)生頻率、癥狀持續(xù)時間上都有明顯變化，而當前絕大多數關于兩種癥狀的比對中，發(fā)現不穩(wěn)定型心絞痛對于患者造成的痛苦體驗較之于穩(wěn)定型心絞痛更為明顯。當前，生物醫(yī)學針對不穩(wěn)定型心絞痛的治療以藥物治療為主，該癥狀復發(fā)性很強，是一系列心血管疾病的產物，無法將其徹底治愈，因此患者需要終身使用藥物，其中將會發(fā)生很多不利于治療開展的直接、間接因素，而這是藥物治療無法處理的。據此，本文就針對不穩(wěn)定型心絞痛的臨床治療中采用護理干預能夠造成的影響進行說明。