院前护理干预对区域化协同救治急性心肌梗死效果及预后的影响  

Effect of Pre-hospital Nursing Intervention on Combined Regional Treatment of Acute Myocardial Infarction and Prognosis

作　　者：高新 GAO Xin(Dalian Emergency Center,Dalian 116021,China)

机构地区：[1]大连急救中心,辽宁大连116021

出　　处：《中国医药指南》2020年第28期189-190,共2页Guide of China Medicine

摘　　要：目的观察分析院前护理干预对区域化协同救治急性心肌梗死的效果及预后的影响。方法纳入2017年2月至2018年12月收治的心肌梗死患者108例,利用区组随机化分组法随机分组,院前干预组及常规干预组,两组患者均进行区域协同抢救,常规干预组采取常规护理办法,院前干预组则实施院前护理干预,对比此两组患者的首次医疗接触到球囊扩张治疗的时间(FMC-to-B),患者进入医院到接触球囊扩张治疗的时间(D-to-B),患者受治疗4周、20周后的左心室射血分数(LVEF)及左心室舒张末期内径(LVDE)。结果实施院前护理干预的院前干预组患者FMC-to-B、D-to-B、受治后4周及20周LVEF及LVDE均优于常规干预组患者,且此6项对比均有统计学意义(P <0.05)。结论在区域协同救治急性心肌梗死患者中实施院前护理干预,可有效缩短患者初次接触治疗的时间,利于早期治疗,并提高患者预后心脏功能,在临床相关护理工作中可进一步推广应用。Objective To observe and analyze the eff ect of pre-hospital nursing intervention on the combined treatment of acute myocardial infarction and its prognosis.Methods One hundred and eight patients with myocardial infarction were admitted to the treatment group from February 2017 to December 2018.The randomized group method was used to randomly group the pre-hospital intervention group and the regular intervention group.The two groups of patients were all rescued by regional cooperation.The conventional intervention group adopted conventional care methods.The pre-hospital intervention group implemented pre-hospital care interventions,comparing the fi rst time that the two groups of patients had medical contact with balloon expansion therapy(FMCto-B),and the time when the patient entered the hospital to contact with balloon expansion therapy(D-to-B).The patient received treatment 4 weeks and 20 weeks after the left ventricle ejection fraction(LVEF)and the left ventricle diastolic terminal inner diameter(LVDE).Results Time of first medical contact(FMCto-B),time of entry into hospital and contact with balloon dilation(D-to-B),4,20 weeks after treatment in pre-hospital intervention group LVEF and LVDE were superior to those of the conventional intervention group,and these six comparisons were statistically signifi cant(P<0.05).Conclusion The implementation of pre-hospital nursing intervention in regional collaborative treatment of acute myocardial infarction can eff ectively shorten the time of the first contact treatment,facilitate early treatment,improve the prognosis of the patient's heart function,and further promote the application in the clinical nursing work.

关 键 词：急性心肌梗死 院前护理 区域协同救治 对比试验 常规护理 临床疗效 预后 

分 类 号：R473.5[医药卫生—护理学] R541[医药卫生—临床医学]