《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (9): 884-885.

• 论文 • 上一篇    下一篇

围手术期不同补液速度对冠脉介入术后血小板聚集率的影响

翟金月，安春秀，李丽君   

  1. 解放军总医院老年心血管病研究所，北京市100853
  • 收稿日期:2012-06-01 修回日期:2012-07-16 出版日期:2012-09-25 发布日期:2012-09-25

Effect of Speed of Perioperative Fluid Infusion on Rate of Platelet Aggregation during Percutaneous Coronary Intervention

ZHAI Jin-yue, AN Chun-xiu, LI Li-jun   

  1. Institute of Geriatric Cardiology, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2012-06-01 Revised:2012-07-16 Published:2012-09-25 Online:2012-09-25

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被引次数

1

摘要： 目的探讨围手术期不同补液速度对冠状动脉支架植入术后血小板聚集率的影响。方法冠状动脉介入治疗患者60例分为两组。冠脉造影后，对照组30 例输液速度维持于正常的1.5~2 ml/kg·h，试验组调整到6~9 ml/kg·h。记录两组患者的血压、心率、血小板聚集率及血浆渗透压。结果对照组术前的血小板聚集率与术后4 h 时相比无显著性差异(P>0.05)；试验组术后4 h、术后次日的血小板聚集率与术前相比均有降低(P<0.05)。结论围术期快速补液能够降低血小板聚集率，可能有助于提高冠脉支架植入术的成功率，降低急性血栓的形成。

关键词: 冠状动脉介入治疗, 补液速度, 血小板聚集率, 护理

Abstract: Objective To investigate the effect of different speed of perioperative fluid infusion on rate of platelet aggregation during percutaneous coronary intervention. Methods 60 patients accepted percutaneous coronary intervention (PCI) were divided into 2 groups. The control group (n=30) accepted fluid infusion in speed of 1.5~2 ml/kg·h, while the trial group (n=30) with the speed of 6~9 ml//kg·h after coronary arteriongraphy. Their blood pressure, heart beat, rate of platelet aggregation and osmotic pressure of plasma were recorded. Results It was not significantly different in rate of platelet aggregation before and 4 h after operation in the control group (P>0.05), and it was significantly lower 4 h and 1 d after operation in the trial group (P<0.05). Conclusion Fast fluid infusion perioperatively can lower the rate of platelet aggregation, which may improve the success of PCI and reduce the acute thrombosis

Key words: percutaneous coronary intervention, speed of fluid infusion, rate of platelet aggregation, nursing