急诊护理对心肌梗死患者抢救成功率及预后的影响分析  

Emergency nursing rescue success rate and prognosis in patients with myocardial infarction impact analysis

作　　者：李文娜[1] 

机构地区：[1]济南市中心医院医保科,山东250013

出　　处：《社区医学杂志》2016年第6期17-19,共3页Journal Of Community Medicine

摘　　要：目的分析讨论急诊护理对心肌梗死患者抢救成功率及预后的影响。方法选择2014年5月—2015年5月期间本院接收心肌梗死患者共计400例,以随机分配法则为依据将其均分为对照组和观察组各200例,其中,对照组200例患者接受传统护理干预,观察组200例患者接受急诊护理干预,比较两组患者相关临床指标,计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果对照组患者在急诊的留置时间为(48.6±12.9)min、抢救时间为(68.4±15.43)min、住院时间为(16.8±0.4)d,均高于观察组的(27.7±11.4)、(45.6±10.7)min、(11.9±0.4)d,对比差异均有统计学意义(均P<0.05)。观察组抢救成功率为97.5%,高于对照组的83.0%,住院期间复发率为4.0%,低于对照组的12.0%,且对比差异均具有统计学意义(均P<0.05)。随访调查发现,对照组并发症发生率为34.0%,高于观察组的7.5%,对比差异有统计学意义(P<0.05),对照组死亡率为3.5%,略高于观察组的2.0%,但对比差异无统计学意义(P>0.05)。结论对于急性心肌梗死患者应用急诊护理干预,可以缩短抢救时间,提高抢救成功率,同时具有良好的预后效果。Objective To discuss the emergency nursing rescue success rate and prognosis in patients with myocardial infarction.Methods In May 2014 to May 2015,our hospital received a total of 400 patients with myocardial infarction,based on random distribution law,they were divided into control group and observation group,among them,the control group,200 cases of patients accepted traditional nursing intervention,the observation group of 200 patients accepted emergency nursing intervention,Two groups of patients were compared with related clinical indicators.Measurement data was processed by t test,count data was processed by chi sqare test,the result of P0.05 was considered statistically significant.Results The indwelling time of control group patients in the emergency department,save time,length of hospital stay [（48.6＋12.9）,（68.4＋15.4）min,（16.8＋0.42）d] were higher than that in observation group [（27.7＋11.4）,（45.6＋10.7）min,（11.9＋0.4）d],statistically significant difference（all P0.05）.Observation group rescue success rate（97.5%） were higher than the control group（83.0%）,hospital stay recurrence rates（4.0%） were lower than the control group（12.0%）,and the differences were statistically significant（all P0.05）,The complication rate of follow- up survey found that in the control group（7.5%） were higher than that of observation group（34.0%）,statistically significant（all P0.05）.The control group mortality（3.5%） were slightly higher than the observation group（2.0%）,but no statistically significant（P0.05）.Conclusion For patients with acute myocardial infarction,application of emergency nursing intervention can shorten the rescue time,improve the success rate of rescue,and has a good prognosis.

关 键 词：急诊护理 心肌梗死 抢救成功率 预后影响 

分 类 号：R473[医药卫生—护理学]