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目的：探讨老年冠心病无痛性心肌缺血临床护理效果观察。方法我院选取2014年1月至2016年1月所收治的90例冠心病无痛性心肌缺血患者作为本次研究对象，随机将其分为对照组和观察组，每组均有45例患者，经过分析两组患者临床资料，对照组患者实施常规护理措施，而观察组患者实施全面且系统的护理干预措施，对比两组患者的总有效率。结果观察组总有效率为97．8％，对照组总有效率77．8％，观察组患者的总有效率显著高于对照组。结论实施全面且系统的护理干预措施能够有效提高患者的总有效率，在临床上具有极大的推广价值。“,”Objective To study in elderly patients with coronary heart disease(CHD)painless myocardial ischemia clinical nursing ef ect of.Methods our hospital selected January Janu-ary 2014 to 2016 were treated 90 cases of coronary heart disease painless myocardial ischemia patients as subjects in this study were classified as control group and observation group,each group had 45 patients,according to the analysis of the clinical data of two groups of patients,the control group received routine nursing measures,and implementation of comprehensive and sys-tematic nursing intervention measures of patients in the observation group,the total ef ective rate were compared between the two groups of patients.Results observation group,the total ef ective rate was 97.8%,control group,the total ef iciency was 77.8%,observation group,the total ef ective rate was significantly higher than that of the control group.Conclusion the implementation of comprehensive and systematic nursing intervention can ef ectively improve the patients'total ef iciency,in clinical practice has great popularization value and values.