优化急诊护理流程对急性心肌梗死患者抢救效果的影响  

作　　者：朱秀芬[1] 

机构地区：[1]佛山市第二人民医院急诊科,广东佛山528000

出　　处：《现代临床护理》2010年第6期13-15,共3页Modern Clinical Nursing

摘　　要：目的探讨优化急诊护理流程在急性心肌梗死(acute myocardialin farction,AMI)患者抢救中的效果。方法选择2007年7月-2009年1月本院急诊收治的急性心肌梗死患者140例为对照组,2009年2月-2010年2月58例患者为观察组。对照组采用常规的抢救程序,实验组应用优化后的护理流程对患者进行抢救,比较两组患者的抢救效果。结果观察组进出急诊室时间、急诊球囊扩张时间短于对照组(均P<0.01);院内AMI复发率、院内再行经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)率低于对照组(均P<0.05);两组住院时间比较,P>0.05,差异无统计学意义。结论优化急诊护理流程可提高AMI患者的抢救效果,缩短PCI前各环节时间,从而挽救缺血心肌,提高抢救成功率。Objective To investigate the effect of optimized emergency nursing procedure on the rescue of patients with acute myocardial infarction （AMI）. Methods 140 patients rescued by routine rescue procedure from July in 2007 to January in 2009 were assigned into the control group and another 58 patients rescued by the optimized rescue procedure from February in 2009 to February in 2010 into the observation group. The rescue effects of two groups were compared between the two groups. Results The time for sending the patients into and out of the emergency room and the time for emergency balloon dilatation in the observation group were significantly shortened, compared to those in the control group （P 〈 0.01）. The recurrence rate of AMI and re-performance rate of PCI in the observation group were obviously reduced as weU （P 〈 0.05）. The hospitalization duration was no different from each other （P 〉 0.05）. Conclusion Optimized nursing procedure can enhance the effect on rescue of AMI patients, shorten the time for every step before PCI, retrieve the ischemic cardiac muscle and eventually raise the rescue rate.

关 键 词：急性心肌梗死 优化护理流程 抢救 护理 

分 类 号：R473.5[医药卫生—护理学]