优化急救流程救治急性心肌梗死患者的效果评价  

Effects of optimized emergency care pr ocess on the rescue of patients with acute myocardial infarction

作　　者：陈芹[1] 马影[2] 蒋慧娟[2] 

机构地区：[1]安徽省宿州市立医院护理部,234000 [2]安徽省宿州市立医院急诊科,234000

出　　处：《中华现代护理杂志》2015年第20期2382-2385,共4页Chinese Journal of Modern Nursing

基　　金：2013年宿州市科技计划项目（2013-11）

摘　　要：目的：探讨优化急救护理流程救治急性心肌梗死患者的效果评价。方法收集2013年1月—2014年6月接诊的113例急性心肌梗死患者资料,按照随机数字表法分为观察组56例和对照组57例,对照组采用常规急救流程,观察组采用优化急救流程。比较两组出诊时间、启动救治时间、入院至首次球囊扩张时间（D-B 时间）、抢救成功率、并发症发生率、病死率、住院天数及患者转运过程中和入院后 APACHE Ⅱ评分。结果观察组启动救治时间为（9.39±2.75）min、D-B 时间为（61.27±10.35）min、住院时间为（15.34±4.33）d,均低于对照组,差异有统计学意义（t 值分别为-2.013,-2.224,2.683；P 〈0.05）。观察组抢救成功率、并发症发生率、病死率分别为98.21%,12.50%,3.64%,均优于对照组,差异有统计学意义（χ^2值分别为4.793,3.890,4.906；P 〈0.05）。观察组入院后 APACHE Ⅱ评分为（20.82±3.88）分,低于对照组的（23.78±4.02）分,差异有统计学意义（t =2.646,P 〈0.05）。结论优化急救流程,可提高急性心肌梗死患者的抢救成功率,降低病死率,保障急救绿色通道的畅通,体现急救的时效性。Objective To explore the influence of the optimized emergency care process on the remedy results of the patients with acute myocardial infarction. Methods We retrospectively analyzed the clinical data of 113 cases of acute myocardial infarction patients in our hospital Emergency Department from January 2013 to June 2014, and divided them into observation group （n = 56） and control group （n = 57） according to random number table. The patients of control group received the conventional process of emergency, while the patients of observation group received the optimized emergency process. Comparison of the visit time, acquired treatment time, door-to-balloon time （DB-time）, rescue success rate, incidence of complications, in-hospital mortality and length of stay of the two groups were organized; and we recorded the APACHE Ⅱ score of the observation group at transfer process and after admission. Results The acquired treatment time was （9. 39 ± 2. 75） min, D-B time （61. 27 ± 10. 35）min, length of hospitalization （15. 34 ± 4. 33） d in the observation group lower than that of the control group （t = - 2. 013, - 2. 224,2. 683;P 〈 0. 05）. The rescue success rate, complication incidence rate and mortality of observation group were 98. 21% , 12. 50% , 3. 64% better than those of the control group （χ^2 = 4. 793,3. 890,4. 906;P 〈 0. 05）. The APACHE Ⅱ score of the observation group was （20. 82 ± 3. 88） point, lower than （23. 78 ± 4. 02） score of the control group （ t = 2. 646,P 〈 0. 05）. Conclusions The optimized emergency care process can improve the success rate of first aid, reduce the mortality rate, guarantee the nursing quality of emergency green passage, and embody the timeliness of first aid.

关 键 词：心肌梗死 急救 护理 流程优化 

分 类 号：R473.5[医药卫生—护理学]