淺談冠狀動脈血管支架植入

Nursing Care of the Patient with Intra-coronary Stenting

心血管介入性療法已經在過去十年間快速的發展，經皮冠狀動脈血管成形後植入支架術逐漸成為一般主要內科介入性的治療方法。許多研究結果已證明冠狀動脈血管支架對臨床上包括急性心肌梗塞及多發性冠狀動脈疾病的有效性。因為這些改變，使得護理人員必須持續地吸取最新的知識與技能，才能夠在介入性治療過程中提昇照護病患的能力。本文將介紹植入支架前後病患之照護及出院指導指引，希望能提供護理人員對冠狀動脈支架術之護理有更新的了解。

Interventional cardiology has been rapidly evolving over the past decade, and percutaneous coronary revascularization by means of stenting has become the most common major medical intervention. The efficacy of coronary stenting has been proven in patients with a variety of clinical presentations, including acute myocardial infarction and multi vessel coronary artery disease. Because of the changes, nurses and cardiovascular technologists must continuously update their skills to enable them to care better for patients undergoing interventional procedures. This guide will outline how to care for patients receiving the stent in preparation, during and after the procedure. We hope this article can provide some new information for the nursing care of patients with coronary stenting.