目的:回顾分析急性心肌梗死PCI手术患者发生心律失常的相关因素,同时结合患者的个体表现与特征提出具体的护理措施.方法:选取2020年1月—2022年2月我院收治的102例急性心肌梗死PCI手术患者作为研究对象,回顾分析患者的资料数据.所有患者均在入院后接受PCI手术治疗,基于患者是否存在心律失常将其分为两组,同时总结关于心律失常发生的相关因素.结果:102例患者中的72例未发生心律失常,占比70.59％;30例患者发生心律失常,占比29.41％.单因素分析结果显示,对急性梗死PCI手术发生心律失常有影响的因素包含血管病变、血流TIMI分级、梗死部位、梗死范围;通过多因素Logistic回归分析上述数据也被论证为危险因素.结论:血管病变、血流TIMI分级、梗死部位、梗死范围属于临床中急性心肌梗死患者在PCI手术后发生心律失常的主要影响因素,临床需结合患者的危险因素制订具体的防护措施,及时采取积极有效的护理方案,以降低心律失常的发生风险.

Objective:To analysize the related risk factors of nosocomial infection and put forward relevant nursing strat-egy in coronary care unit. Methods:362 cases of hospitalized patients in coronary care unit in our hospital were surveyed to analysize the related risk factors of nosocomial infection and put forward relevant nursing strategy. Results:The average hos-pital infection rate was 3. 32%. The patients with nosocomial infection suffered mainly from acute myocardial infarction,es-pecially in the elderly patients. Infection sites focused in the lower respiratory tract and the pathogens were mainly Gram -negative bacteria;Nosocomial infection was closely related to the hospitalization duration and concurrence of several risk fac-tors could increased the rates of nosocomial infection. Conclusions:Age,the hospitalization days,invasive operation,mal-nutrition and diabetis are risk factors for nosocomial infection. To deal with the above mentioned risk factors,it is necessary to strengthen the observation of illness process and the cough,sputum properties and temperature. At the same time,abi-dence by aseptic technique in indwelling catheter and enhancement of disinfection - isolation are the useful methods to pre-vent and control for the nosocomial infections.

<正>难治性癫痫(intractable epilepsy)又称顽固性癫痫,是指频繁的癫痫发作,每月至少4次以上,应用适当的第一线抗癫痫药物正规治疗且药物的血浓度在有效范围内,至少观察2年仍不能控制发作且影响日常生活,患者无进行性中枢神经系统疾病或占位性病变的癫痫发作。