胸痛中心模式下的急救护理路径在ST段抬高型心肌梗死患者救治中的应用效果分析  

Analysis of the Application Effect of the Emergency Nursing Pathway under the Chest Pain Center Mode in the Treatment of STEMI Patients

作　　者：付鸿雁 李娟[1] 宋运远 FU Hong-yan;LI Juan;SONG Yun-yuan(Emergency Department,Guangdong Provincial People’s Hospital Ganzhou Hospital,Ganzhou,Jiangxi,341000,China)

机构地区：[1]广东省人民医院赣州医院急诊科,江西赣州341000

出　　处：《黑龙江医学》2022年第18期2280-2282,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨胸痛中心(CPC)模式下的急救护理路径在ST段抬高型心肌梗死(STEMI)患者救治中的应用效果。方法:选取2018年4月—2019年7月CPC未成立前于样本医院就诊的43例STEMI患者为对照组,采取传统护理路径;选取2019年8月—2021年1月CPC成立后于样本医院就诊的43例STEMI患者为观察组,实施CPC模式下的急救护理路径。对比两组患者救护时间、住院时间、就诊10 min规定项目达标率、心功能指标、住院期间心力衰竭发生率。结果:观察组首份心电图时间、建立静脉通路时间、门—球囊时间、住院时间短于对照组,差异有统计学意义(t=6.913、9.257、22.953、5.707,P<0.05);观察组心电图检查、开具实验室检查、口服氯吡格雷与阿司匹林或倍林达的达标率高于对照组,差异有统计学意义(χ^(2)=6.198、4.914、5.460,P<0.05);入院时两组患者心功能水平的比较,差异无统计学意义(t=0.769、1.704、0.540,P>0.05);出院时观察组LVEF水平高于对照组,LVEDD、LVESD水平低于对照组,差异有统计学意义(t=6.126、7.225、7.260,P<0.05);观察组心力衰竭发生率低于对照组的,差异有统计学意义(χ^(2)=4.467,P<0.05)。结论:CPC模式下的急救护理路径应用于STEMI患者救治中,能够缩短患者救治时间,提高规定项目救治达标率,有利于心功能恢复,有效降低心力衰竭发生率,改善患者预后。Objective: To investigate the application effect of emergency nursing pathway in chest pain center(CPC) mode in the treatment of patients with ST-segment elevation myocardial infarction(STEMI). Methods: 43 patients with STEMI who visited the sample hospital from April 2018 to July 2019 before the establishment of CPC were selected as the control group, and the traditional nursing path was adopted. A total of 43 STEMI patients who visited the sample hospital after the establishment of CPC from August 2019 to January 2021 were selected as the observation group, and the emergency nursing path under the CPC mode was implemented. The rescue time, hospitalization time, compliance rate of prescribed items within 10 min of visiting a doctor, cardiac function indicators, and incidence of heart failure during hospitalization were compared between the two groups. Results: The time of the first ECG, the establishment of venous access, the portal-balloon time, and the hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant(t=6.913, 9.257, 22.953, 5.707, P<0.05).The compliance rate of electrocardiogram examination, prescribing laboratory examination, oral clopidogrel, aspirin or belinda in the observation group was higher than that in the control group, and the difference was statistically significant(χ^(2)=6.198, 4.914,5.460, P<0.05). There was no statistically significant difference in cardiac function between the two groups at admission(t=0.769,1.704, 0.540, P>0.05). At discharge, the level of LVEF in the observation group was higher than that in the control group, while the levels of LVEDD and LVESD in the observation group were lower than those in the control group, and the differences were statistically significant(t=6.126, 7.225, 7.260, P<0.05). The incidence of heart failure in the observation group was lower than that in the control group, and the difference was statistically significant(χ^(2)=4.467, P<0.05). Conclusion: The emergency nu

关 键 词：ST段抬高型心肌梗死 胸痛中心模式 急救护理路径 救护时间 心力衰竭 

分 类 号：R47[医药卫生—护理学]