摘要
目的研究高龄急性心肌梗塞(AMI)患者经序贯分级干预对救治成功率和生活质量的影响。方法选取我院2015年9月-2017年9月收治的90例高龄AMI患者为研究对象,按照数字表随机分组的方案分为观察组和对照组,各45例。对照组行常规干预;观察组在对照组基础上对Ⅰ、Ⅱ、Ⅲ级AMI患者采取对应干预。干预后对比两组心血管事件发生情况;对比干预前后两组生活质量量表(SF-36)评分;对比两组干预后急性生理与慢性健康评分(APACHE Ⅱ)及住院时间。结果两组患者干预后,观察组心血管事件总发生率24.44%显著低于对照组44.44%,差异有统计学意义(P<0.05)。两组干预前SF-36各维度评分对比差异无统计学意义(P>0.05);干预后观察组SF-36评分各维度均显著高于对照组,差异有统计学意义(P<0.05)。干预后观察组APACHEII评分显著低于干预前及对照组干预后,差异有统计学意义(P<0.05);观察组住院时间显著短于对照组,差异有统计学意义(P<0.05)。结论序贯分级干预用于高龄AMI患者可根据患者具体情况展开特定干预,有利于提高救治成功率,改善患者生活质量,值得临床推广。
Objective To study the effect of sequential grading intervention on the success rate and quality of life of elderly patients with acute myocardial infarction(AMI).Methods Ninety elderly patients with AMI admitted to our hospital from September 2015 to September 2017 were selected as the research objects.They were randomly divided into observation group and control group according to the scheme of digital table,45 cases in each group.The control group received routine nursing,while the observation group received corresponding nursing intervention for patients with grade Ⅰ,Ⅱ and Ⅲ AMI on the basis of the control group.After nursing,the occurrence of cardiovascular events was compared between the two groups.The scores of quality of life scale(SF-36)before and after nursing were compared between the two groups.The acute physiology and chronic health score(APACHE Ⅱ)and hospitalization time after nursing were compared between the two groups.Results After the intervention,the total incidence of cardiovascular events in the observation group was 24.44%,which was significantly lower than that in the control group(44.44%,P<0.05).There was no significant difference in SF-36 scores between the two groups before nursing(P>0.05);while after the intervention,the SF-36 scores in ihe observation group were signific antly higher than those in ihe control group(P<0.05).After the intervention APACHE Ⅱ score in the observation group was significantly lower than that of before the intervention and that of control group after the inlervention,the difference was statistically significant(P<0.05);the hospitalization time of the observation group was significantly shorter than that of the control group(P<0.05).Conclusion Sequential grading intervention for elderly patients with AMI can carry out specific*nursing according to the specific conditions of patients,which is conducive to improving the succ ess rate of treatment and the quality of life of patients,and is worthy of clinical promotion.
作者
许群锋
季海刚
XU Qunfeng;JI Haigang(Changzhou Hospital of Traditional Chinese Medicine,Changzhou Jiangsu 214003,China)
出处
《中国急救复苏与灾害医学杂志》
2020年第4期456-459,共4页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
江苏省中医药科技发展计划项目(编号:YB201950)。
关键词
序贯分级
急性心肌梗塞
高龄患者
救治成功率
生活质量
Sequential classifu ation
Acute myocardial infarction
Advanced age patients
Success rate of treatment
Quality of life
