摘要
目的:观察心肌梗死救治优化流程在急诊心肌梗死(AMI)患者中的应用效果。方法:采用便利抽样法,将2015年7~12月的82例患者作为对照组,采用常规流程;将2016年1~6月85例患者设为观察组,采用心肌梗死救治优化流程。两组患者均接受经皮冠状动脉介入治疗,比较两组患者进-出急诊室时间、就诊至球囊扩张时间、住院总天数;患者均随访6个月,记录患者再发心肌梗死、梗死后心绞痛、心源性死亡、心力衰竭等发生情况。结果:观察组进-出急诊室时间、就诊至球囊扩张时间及总住院时间明显短于对照组,差异有统计学意义(P<0.05)。随访6个月,观察组心脏事件发生率为12.94%,无心源性死亡,对照组心脏事件发生率为34.15%,心源性死亡率7.32%(P<0.05)。结论:AMI救治优化流程可减少院内救治延迟,提高心肌梗死患者抢救成功率及预后。
Objective：To observe the application effect of optimization flow of myocardial infarction in patients with acute myocardial infarction （AMI）.Methods：A convenience sampling method was used,and 82 patients from July to December 2015 were taken as the control group,where conventional flow was used;and 85 patients from January to June 2016 were taken as the observation group,where the myocardial infarction rescue optimization flow was used.Patients in both groups received the percutanecus coronary intervention treatment,and they were compared in time to enter and leave emergency ward,time of treatment until balloon dilatation,number of days of hospitalization;a 6 month＇s follow-up visit was made to all patients,and the patients＇ recurrence of myocardial infarction,post-infarction angina pectoris,cardiac death and cardiac failure.Results：The time to enter and leave the emergency ward,time of treatment until balloon dilatation and total number of hospitalization days of patients in the observation group were significantly shorter than those of patients in the control group,and the difference was statistically significant（P〈0.05）.Upon 6 month＇s follow-up visit,the incidence rate of cardiac events of patients in the observation group was 12.94%,and there was no cardiac death;the incidence rate of cardiac events of patients in the control group was 34.15%,and the cardiac death rate was 7.32%（P〈0.05）.Conclusion：The optimization flow of AMI rescue could reduce the delayed rescue in the hospital,and increase the rescue success rate and prognosis of myocardial infarction patients.
出处
《护理实践与研究》
2017年第8期11-13,共3页
Nursing Practice and Research
关键词
优化流程
急诊科
护理
心肌梗死
预后
Optimization flow
Emergency
Nursing
Myocardial infarction
Prognosis
