急诊绿色通道在急性心肌梗死患者抢救中的应用  

Application of Emergency Green Channel for Patients with Acute Myocardial Infarction

作　　者：张庆荣[1] 毛春节[1] 曹云云[1] 林碎钗[1] 

机构地区：[1]温州医科大学附属第一医院急诊科,浙江温州325000

出　　处：《解放军护理杂志》2015年第23期67-69,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨急诊绿色通道在急性心肌梗死患者抢救中的应用效果。方法便利选取2013年12月至2014年12月温州医科大学附属第一医院急诊科收治的急性心肌梗死患者,其中2013年12月至2014年5月的80例患者为对照组(经常规流程接受治疗),2014年6-12月的98例患者为观察组(经急诊绿色通道接受治疗),比较两组患者入院至首次球囊扩张的时间、并发症发生情况及抢救成功率。结果观察组和对照组入院至首次球囊扩张的平均时间分别为(58.91±12.75)和(90.17±29.53)min,差异有统计学意义(t=9.88,P<0.01);观察组抢救成功率(100%)高于对照组(95%),总并发症发生率及尿潴留发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论经急诊绿色通道对急性心肌梗死患者进行抢救,能够有效缩短入院至首次球囊扩张的时间,为患者的治疗及预后提供了保障。Objective To investigate the application effect of emergency green channel for patients with acute myocardial infarction（AMI）.Methods By convenience sampling, patients admitted from December 2013 to December 2014 were selected,in which 80 cases from December 2013 to May 2014 were selected as control group（conventional treatment）, and 98 cases from June 2014 to December 2014 were selected as observation group （received treatment through emergency green channel）. The time from admission to door-to-balloon time,incidence of complications and success rescue rate were compared.Results The doorto-balloon time was（58.91±12.75）min in observation group and（90.17± 29.53） min in control group（t = 9.88,P〈0.01）.The success rescue rate in observation group was 100% ,which was higher than that of control group （95%）.The total complication rate and incidence of urinary retention in observation group was significantly lower than that of control group （P〈0.05）.Conclusion The emergency green channel for patients with AMI can strictly control the door-to-balloon time, which is the guarantee of the treatment and prognosis.

关 键 词：急诊 绿色通道 急性心肌梗死 入院至首次球囊扩张的时间 

分 类 号：R472.2[医药卫生—急诊医学] R542.22[医药卫生—护理学]