Analysis of emergency and nursing measures for paroxysmal supraventricular tachycardia
阵发性室上性心动过速的急救及护理措施分析

摘要

目的 探究阵发性室上性心动过速（PSVT）的急救措施和护理方法。方法 选择2022年6月~2024年6月我院收治的阵发性室上性心动过速患者50例纳入研究，按护理方式不同分为两组，各25例。对照组给予常规急救和护理，观察组采用改进后的急救方案和系统的护理干预措施。对两组复律时间、复律成功率、心率和血压的改善情况等进行比较。结果 在复律效果的对比中，观察组干预后的复律时间以及复律成功率均优于对照组（P＜0.05）；在血流动力学指标对比中，观察组干预后的心率、收缩压和舒张压指标均优于对照组（P＜0.05）；在并发症发生情况的对比中，观察组干预后出现低血压、心动过缓、心律失常加重以及恶心呕吐的发生率更低（P＜0.05）。结论 改进的急救方案，结合系统的护理，能明显提高 PSVT复律的效率，改善血流动力学，减少并发症的发生，值得临床推广。

Abstract

Objective To explore the emergency measures and nursing methods for paroxysmal supraventricular tachycardia (PSVT).
Methods Fifty patients with paroxysmal supraventricular tachycardia admitted to our hospital from June 2022 to June 2024 were selected for the study. They were divided into two groups based on different nursing methods, with 25 patients in each group. The control group received routine first aid and nursing care, while the observation group received improved first aid plans and systematic nursing interventions. Compare the improvement of rehabilitation time, success rate, heart rate, and blood pressure between two groups.
Results In the comparison of the effects of cardioversion, the observation group showed better cardioversion time and success rate after intervention compared to the control group (P<0.05); In the comparison of hemodynamic indicators, the heart rate, systolic blood pressure, and diastolic blood pressure indicators in the observation group were better than those in the control group after intervention (P<0.05); In the comparison of the occurrence of complications, the observation group had a lower incidence of hypotension, bradycardia, worsening arrhythmia, and nausea and vomiting after intervention (P<0.05).
Conclusion   The improved emergency plan, combined with systematic nursing, can significantly improve the efficiency of PSVT cardioversion, improve hemodynamics, and reduce the occurrence of complications, which is worthy of clinical promotion.