贾琴 郑明霞 何森

[摘要] 目的 探讨围术期优质护理在射频消融术治疗阵发性房颤患者的临床效果。 方法 选择2016年1月～2017月12月在四川大学华西医院行射频消融术治疗的阵发性房颤患者98例，根据随机数字表法将患者分为观察组和对照组，每组各49例。观察组行围术期优质护理，对照组行围术期常规护理，对两组患者临床总有效率、并发症发生率及患者满意度进行比较分析。 结果 观察组临床总有效率、患者满意率于对照组，差异有统计学意义（P < 0.05），观察组并发症发生率低于对照组，差异有统计学意义（P < 0.05）。 结论 对阵发性房颤患者行射频消融术治疗过程中实施围术期优质护理，能够显著提高临床总有效率，减少相关并发症的发生，对提高护理质量及患者满意度效果明显。

[关键词] 阵发性房颤；射频消融术；围术期；优质护理

[中图分类号] R473.5 [文献标识码] A [文章编号] 1673-7210（2018）08（a）-0157-04

[Abstract] Objective To investigate the clinical effect of high-quality nursing at perioperative period in treatment of patients with paroxysmal atrial fibrillation by radiofrequency catheter ablation. Methods From January 2016 to December 2017， in Department of Cardiology， West China Hospital， Sichuan University， 98 patients with paroxysmal atrial fibrillation treating with radiofrequency catheter ablation. According to the random digital table， 98 patients with paroxysmal atrial fibrillation were divided into observation group and control group， with 49 cases in each group. The observation group was given high-quality nursing at perioperative period， while the control group was given routine nursing at perioperative period. The total effective rate， complication rate and the patients′ satisfaction in two groups were compared. Results The total effective rate， satisfaction rate in the observation group were higher than those in the control group， the differences were statistically significant （P < 0.05）， the complication rate in the observation group was lower than that in the control group， the difference was statistically significant （P < 0.05）. Conclusion For patients with paroxysmal atrial fibrillation， high-quality nursing at perioperative period in treatment of paroxysmal atrial fibrillation is performed， which can significantly improve the total effective rate and reduce the incidence of related complications， improve the relationship between nurses and patients， and improve the quality of nursing and patient satisfaction degree.

[Key words] Paroxysmal atrial fibrillation； Radiofrequency ablation； Perioperative； High-quality nursing

心房颤动（简称“房颤”）是一种复杂的心律失常，是心内科最为常见的持续性心律失常，可使脑卒中风险增加5～7倍，病死率增加1.5～2.0倍[1]。其中阵发性房颤的持续时间≤7 d（常≤48 h），能自行終止，但容易反复发作。长期以来，房颤的治疗多以药物为主，治疗主要在于预防复发，控制心室率及抗凝等，但临床研究发现药物治疗效果一般，容易复发，而且副作用较多。近年来，射频消融术在治疗阵发性房颤方面，具有微创、安全、效果显著、不易复发等优点，因此得到广泛应用，成为治疗阵发性房颤首选治疗[2]。优质护理是一种以患者为核心、为患者提供专业、全面的护理服务模式[3]，随着护理模式的转变，优质护理逐渐广泛应用于临床工作，四川大学华西医院（以下简称“我院”）心血管内科于2016年1月将围术期优质护理应用于心内科介入手术患者。为探究……