Objective To investigate the correlation between the level of plasma Hcy and the SYNTAX score of coronary artery disease of patients with coronary heart disease (CHD). Methods A total of 225 patients who were definitively diagnosed with CHD after coronary angiography (CAG)at the Department of Cardiology of General Hospital of Ningxia MedicalUniversity from July to December 2014 were selected as CHD group,and 51 patients with negative CAG were selected as the control group. According to the SYNTAX score,patients in CHD group were further divided into low - risk group (n = 74), moderate - risk group (n = 72),high - risk group (n = 79). General information 〔sex,age,BMI,systolic blood pressure (SBP),diastolic blood pressure (DBP),smoking history,history of drinking,past medical history,past medication situation, etc.〕,laboratory test results 〔fasting plasma glucose (FPG),glycosylated hemoglobin (HbA 1c ),total cholesterol (TC), triglyceride (TG),low density lipoprotein cholesterol (LDL-C),high density lipoprotein cholesterol (HDL-C),serum uric acid (SUA),serum creatinine (SCr),hypersensitive C - reactive protein (hs-CRP),Hcy,etc. 〕,and color Doppler ultrasound examination results of heart 〔left ventricular end diastolic diameter (LVEDD),left ventricular ejection fraction (LVEF)〕of the patients were collected. Results There was no significant difference in age,SBP and DBP among the four groups (P > 0. 05),while there was significant difference in BMI (P < 0. 05). There was no significant difference in the percentage of men,the rate of drinking and the usage rate of antidiabetic drugs,statins and antiplatelet drugs among the four groups (P > 0. 05),while smoking rate and the incidence of hypertension,diabetes and hyperlipidemia as well as the usage rate of antihypertensive drugs were significantly different (P < 0. 05). There were no significant differences in the levels of FPG,TC, SUA and hs-CRP among the four groups (P > 0. 05),while the comparison between levels of HbA 1c ,TG,LDL-C,HDL-C, SCr,Hcy and LVEDD,LVEF was significantly different (P < 0. 05). The level of Hcy was positively correlated with BMI, smoking,hypertension and levels of HbA 1c ,TC,LDL-C,SUA,SCr,hs-CRP as well as LVEDD (P < 0. 05),negatively correlated with HDL-C level and LVEF (P < 0. 05),and had no obvious correlation with other indicators (P > 0. 05). The SYNTAX score was positively correlated with hypertension and levels of SCr,Hcy as well as LVEDD (P < 0. 05),negatively correlated with levels of TG and HDL-C as well as LVEF (P < 0. 05),and had no obvious correlation with other indicators (P >0. 05). Multivariate Logistic regression analysis showed that smoking,hypertension,levels of LDL-C,HDL-C and Hcy,and LVEF were the independent factors of SYNTAX score (P < 0. 05). Conclusion Plasma Hcy level is positively correlated with SYNTAX scores among patients with CHD,and the detection of plasma Hcy level is helpful in predicting the severity of coronary artery disease in patients with CHD.

Objective To detect the prognostic factors of acute myocardial infarction(AMI)patients with emergency PCI treatment. Methods A total of 1489 patients with AMI were enrolled. A retrospective analysis was used to analyze their medical records and factors affected the prognosis. Results The ratio of AMI combined with COPD, autoimmune disease and premature coronary heart disease in death group was higher than that in survival group The AMI patients in death group had a higher serum level of CRP and NT-proBNP than those in surviral group had. The Logistic regression analysis revealed that older age,elevated CRP, patients with premature coronary heart disease,AMI combined with COPD and autoimmune disease were risk factors for AMI patients death in 1 year period. Conclusion The patients with premature coronary heart disease or combined with COPD or autoimmune disease should be taken active treatment for ameliorating the prognosis.

手术室作为外科诊疗的重要场所，各种尖端复杂手术都离不开手术室护士的密切配合，随着医学的发展，手术涉及的范围越来越广，许多新设备、新仪器、新型医疗材料应用于手术中，对手术室护士整体素质和专业水平要求越来越高，手术室护士工作压力也越来越大。本文笔者对目前手术室护士工作压力原因进行了分析，并提出了相应的对策。

目的：探讨分析PCI手术患者坠床隐患并制定相关的护理对策。方法：我院通过分析1000例行PCI手术患者手术过程中坠床的隐患及出现的原因，制定并采取有效的护理。结果：1000例患者中仅1例出现坠床，占0.1%经过及时处理后继续手术并好转出院。结论：优质的护理措施在规避坠床风险，保障手术安全进行，促进患者康复起到了积极有效的作用。

目的：改良的桡动脉止血器对桡动脉止血的临床效果观察。方法：选取150例行冠状动脉造影术检查的患者，采用随机法分组，观察组75例，对照组75例，将对照组采取常规压迫止血护理，实验组采取改良压迫止血护理方法。结果：实验组压迫止血效果明显高于对照组（P<0.05），并发症明显减少（P<0.05）。结论：加强对采用改良后桡动脉止血器患者观察及护理，能提高止血效果，减少并发症。

<正>经皮冠状动脉介入治疗(PCI)已经成为冠心病治疗的重要手段,具有不开刀、创伤小、恢复快、效果好的特点。但其作为一项有创技术,具有一定的危险性,可以引起相应的并发症。其中急性心包填塞是一种极少发生但具有潜在致命性的并发症,占0.3%～0.5%[1-2]。如何配合医生做好术中心包填塞的抢救护理至关重要,我院自2000年开展PCI术以来有3例患者术中、术后发生心包填塞,现将患者的临床资料报道如下。

<正>子宫颈癌是女性生殖器官常见的恶性肿瘤,临床上主要采取手术和放疗综合治疗。子宫颈癌手术治疗目的是切除子宫颈原发病灶及周围已经或可能受累的组织。随着腹腔镜技术和设备的不断发展,尤其是超声刀结扎血管、止血等应用,使腹腔镜

目的:探讨置入永久性心脏起搏器并发症的护理干预效果。方法:为1 017例患者成功植入了埋藏式起搏器后出现的并发症分析如下,同时进行了精心的护理。结果:本组患者经护理干预后并发症减少到最低,取得了很好的效果。结论:重视术前预防、术中规范操作、加强术后随访及起搏器知识教育,积极处理各种并发症,可将并发症减少到最低限。

目前在一些心脏病的治疗上,永久性心脏起搏器的使用越来越多。在安装了起搏器后,患者在生活中也有些必须注意的问题,避免出现并发症或起搏器故障。50%安装心脏起搏器的患者没有定期检查。使用13年严重超出电池寿命年限仍不回医院查看电池消耗情况!不少患者就这样"突然"倒下再也没有起来。所以安装了心脏起搏器的患者定期回医院检查起搏器的状态非常重要。通过正确、积极的健康教育,使患者自觉、主动、科学的配合治疗与护理工作,安全渡过围手术期和康复期,以保证起搏器正常工作,使患者早日回归社会,提高术后生活质量和工作能力。

目的:改良桡动脉穿刺行动脉血气分析的效果观察与护理。方法:选取150例需行动脉血气分析检查的患者,采用随机法分为两组,观察组75例,对照组75例,对照组采取常规桡动脉穿刺方法,试验组采取改良桡动脉穿刺方法。结果:试验组一针穿刺成功率明显高于对照组(P<0.01),止血时间明显缩短(P<0.01),穿刺后血肿及误采静脉血的发生率均明显降低(P<0.01)。结论:采用改良桡动脉穿刺能提高穿刺成功率,减少并发症。

目的:探讨急性心肌梗死冠状动脉介入治疗中应用主动脉内球囊反博术的护理配合。方法:89例急性心肌梗死患者行冠状动脉介入治疗中使用主动脉内球囊反博进行护理。结果:应用主动脉内球囊反博(IABP)1~10 d,3例于术中死亡,3例于术后48 h内因病情严重家属放弃治疗死亡,其余患者休克得到迅速控制和纠正。结论:IABP作为急性心机梗死时行介入治疗,对于治疗AMI时心源性休克起到重要作用。

目的:探讨主动脉球囊反博泵保护下高危PCI术围手术期护理经验,提高患者生存率,减少并发症的发生。方法:连续收集在我院行主动脉球囊反搏泵保护下行高危急诊PCI术的22例患者的临床资料,进行回顾性分析。结果:22例患者,平均IABP持续时间(2.8±1.4)d,平均住院时间为(15.1±14.1)d,死亡3例(13.6%)。发生直径>5 cm血肿1例,肢体缺血1例。结论:主动脉球囊反博泵辅助治疗是高位患者PCI术成功的有效措施,术中和术后的规范化监测和护理可减少并发症发生,提高患者生存率。

经食道心房调搏术是经食管电极导管从鼻腔插入食道理想位置,输入电脉冲间接刺激心房,进行心脏电生理检查,以诊断心律失常的无创方法.它保证了食道调博技术的安全性,具有无创、安全、简便等优点.是通过测定窦房结功能来判定病态窦房结综合征和鉴别诊断的行之有效的方法.