院前急救护理并绿色通道对AMI患者抢救效果的影响  

Influence of prehospital emergency care connected green channel on rescue effect in patients with acute myocardial infarction

作　　者：韩秀梅[1] 孙桂芝[2] 

机构地区：[1]哈尔滨医科大学附属第二医院急诊科,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第二医院心外科,黑龙江哈尔滨150001

出　　处：《心血管康复医学杂志》2017年第5期551-554,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：黑龙江省教育厅科学技术研究项目(12541404)~~

摘　　要：目的:探讨院前急救护理衔接绿色通道对急性心肌梗死(AMI)患者抢救效果的影响。方法:选择本院急诊收治的122例AMI患者,根据入院先后顺序分为:常规急诊护理组(前入院61例)和绿色通道组(后入院61例,以院前急救护理衔接绿色通道方式进行急救护理),比较两组患者抢救有效率、心肌灌注时间、住院时间、护理满意度。结果:绿色通道组患者总有效率明显高于常规急诊护理组(78.69%比68.85%,P=0.028);与常规急诊护理组比较,绿色通道组患者心肌再灌注时间[(100.72±10.40)min比(56.02±5.49)min]、住院时间[(14.34±3.46)d比(11.86±4.24)d]显著缩短(P均<0.01),患者护理满意度明显提高(81.82%比96.67%,P=0.009)。结论:对急性心肌梗死患者采用院前急救护理衔接绿色通道方式,能够提高抢救有效率,降低住院时间、提高患者护理的满意度,适合临床推广应用。Objective：To explore rescue effect of prehospital emergency care connected green channel on patients with acute myocardial infarction （AMI）.Methods：A total of 122 emergency AMI patients treated in our hospital were selected.Ac-cording to hospitalization order,they were divided into routine emergency care group （the first 61 inpatients）and green channel group （the following 61 inpatients,received prehospital emergency care connected green channel besides routine e-mergency care）.Rescue effective rate,myocardial perfusion time,time of in-hospital stay and nursing satisfaction were compared between two groups.Results：Total effective rate of green channel group was significantly higher than that of routine emergency care group （78.69% vs.68.85%,P =0.028）;compared with routine emergency care group,there were significant reductions in myocardial perfusion time [（100.72±10.40）min vs.（56.02±5.49）min]and time of in-hospital stay [（14.34 ± 3.46）d vs.（11.86 ± 4.24）d]（P 〈 0.01 both）,and significant rise in nursing satisfaction （81.82% vs.96.67%,P =0.028）in green channel group.Conclusion：Prehospital emergency care connected green chan-nel can improve rescue effective rate,reduce time of in-hospital stay and improve nursing satisfaction in patients with acute myocardial infarction,which is worth extending in clinic.

关 键 词：急救 护理 心肌梗死 

分 类 号：R64[医药卫生—外科学]