急性心肌梗死患者简化绿色通道下的护理配合分析  

Experience of nursing cooperation under simplified green channel in patients with acute myocardial infarction

作　　者：杨玉凤 杨晓平 岑翠莲 黄华文[1] 张彩华[1] YANG Yufeng;YANG Xiaoping;CEN Cuilian;HUANG Huawen;ZHANG Caihua(Emergency Department,Lianjiang People's Hospital,Guangdong,Lianjiang 524400,China)

机构地区：[1]广东省廉江市人民医院急诊科,广东廉江524400

出　　处：《中国医药科学》2020年第7期131-133,共3页China Medicine And Pharmacy

摘　　要：目的探究对急性心肌梗死患者采取简化绿色通道下的护理配合应用效果。方法选取本院2017年4月~2018年11月收治的确诊为急性心肌梗死的患者66例,将其按随机分组的方式分为常规组(n=33,运用常规心肌梗死急救护理方案)和简化组(n=33,应用简化绿色通道的急救护理方案),观察两组“就诊-开通血管”(DtoB)、绿色通道滞留、血液送检的时间、抢救成功率、术后复发率以及并发症发生率。结果简化组的绿色通道滞留时间、血液送检时间以及DtoB时间均较对照组缩短;简化组的救治成功率较常规组高,且复发率较常规组低;简化组的并发症发生率和对照组相比明显降低,以上各项数据差异均有统计学意义(P<0.05)。结论对急性心肌梗死患者采取简化绿色通道下的急救护理配合可以缩短DtoB、绿色通道滞留以及血液送检的时间,提高抢救的成功率,降低术后并发症和复发率,对实际的临床工作具有指导性意义。Objective To explore the effect of nursing cooperation under simplified green channel on patients with acute myocardial infarction.Methods 66 patients with acute myocardial infarction admitted in our hospital from April 2017 to November 2018 were randomly divided into two groups:the conventional group(n=33,using the routine myocardial infarction emergency care plan)and the simplified group(n=33,using the simplified green channel emergency care plan).The door to balloon(DtoB),green channel detention,blood samples time,success rate of rescue,recurrence rate and complication rate were observed and compared between the two groups.Results Compared with the conventional group,the green channel detention time,blood samples time and DtoB time in the simplified group were shorter;the success rate of treatment in the simplified group was higher than that in the conventional group,and the recurrence rate was lower;the complication rate in the simplified group was significantly lower than that in the conventional group,and all the differences were statistically significant(P<0.05).Conclusion Nursing cooperation under simplified green channel for patients with acute myocardial infarction can shorten the time of DtoB,green channel detention and blood samples,improve the success rate of rescue,reduce the postoperative complications and recurrence rate,which can provide references for the actual clinical work.

关 键 词：急性心肌梗死 简化绿色通道 急救护理 抢救成功率 并发症 

分 类 号：R472[医药卫生—护理学]