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1、?４０?解放军护理杂志２０１４年９月,３１(１７)不同操作方法半卧位对急性心肌梗死早期患者心电图的影响刘丽英１,２,王建荣２(１．解放军第３０２医院肿瘤放疗中心一科,北京１０００３９;２．解放军总医院护理部,北京１００８５３)【摘要】目的观察不同操作方法半卧位对急性心肌梗死早期患者心电图的影响,探索适合此类患者的最佳半卧位操作方法.方法便利抽样选择入住我院CCU且发病１２~２４h的急性心肌梗死患者２８例,随机分为A组和B组,分别实施逐级抬高至半卧位和一步抬高至半卧位,观察并记录两组患者心率变异性(heartratevariability,H
2、RV)指标:R-R间期标准差(stand-arddiviationofnormaltonormalintervals,SDNN)、相邻RR间期差值均方的平方根(rootmeansquareofsuccessivedi-fleremes,RMssD);QT间期离散度指标:QT离散度(QTdispersion,QTd)及校正后的QT离散度(heart-correctedQTdisper-sion,QTcd).结果不同操作方法半卧位时,两组患者SDNN、RMSSD、QTD、QTcd的改变幅度,逐级半卧位组为(３．３４±１．０５)、(２．１４±１．
3、９６)、(２．４±１．０３)、(３．２１±１．０２)ms,小于直接半卧位组的(５．９８±２．０７)、(４．２３±１．８７)、(４．４±１．９２)、(４．５７±１．９１)ms,差异均有统计学意义(均P＜０．０５).结论从心脏电生理角度而言,逐级半卧位实施法优于直接半卧位实施法,值得临床推广应用.【关键词】急性心肌梗死;心电图;半卧位;操作方法doi:１０．３９６９/j．issn．１００８-９９９３．２０１４．１７．０１１【中图分类号】R５４２．２?２＋２【文献标志码】A【文章编号】１００８-９９９３(２０１４)１７-００４０-０４Effect
4、sofDifferentImplementationMethodsofSemi-recumbentonCardiacElectrophysiologyintheEarlyStagePatientsofAcuteMyocardialInfarction１,２,WangJianrong２(１．FirstSectionofRadiationOncologyCenter,３０２thHospitalofPLA,Bei-LiuLiyingjing１０００３９,China;２．DepartmentofNursing,GeneralHospitalofPL
5、A,Beijing１００８５３,China)Correspondingauthor:WangJianrong,E-mail:wangjianrong＠１６３．com【Abstract】ObjectiveToobservethedifferentimplementationmethodssemi-recumbentpatientswithacutemyocardialinfarctioncardiacelectrophysiology,exploringsemi-recumbentimplementationmethodsuitsthesep
6、atients．MethodsCCUandtheincidenceof１２-２４h２８patientswithacutemyocardialinfarc-tionwererandomlydividedintogroupAandgroupB,andimplementstepbystepsemi-recumbentanddirectsemi-recumbentrespectively．Theheartratevariability,standarddeviationofnormaltonormalin-tervals,rootmeansquar
7、eofsuccessivedifferences,QTdispersionandheart-correctedQTdispersionwereobservedandrecorded．ResultsTheimplementationofdifferentmethodsofsemi-recumbentposi-tion,theSDNN,RMSSD,QTD,QTcdoftwogroupsofpatientswerechanged,stepbystepsemi-recum-bentgroup[(３．３４±１．０５)ms,(２．１４±１．９６)ms,
8、(２．４±１．０３)ms,(３．２１±１．０２)ms]werelessthandirectsemi-recumbentgroup[(５．９８±２．０７)ms,(４．２３±１．８７
