急性心肌梗死并发心室颤动的抢救护理体会  

Experience of Emergency Nursing for Acute Myocardial Infarction Complicated with Ventricular Fibrillation

作　　者：王丽娜 WANG Lina(Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院,辽宁辽阳111000

出　　处：《中国医药指南》2022年第29期14-17,共4页Guide of China Medicine

摘　　要：目的关于对急性心肌梗死并发心室颤动患者进行抢救的有效护理配合分析。方法选择2019年1月至2020年2月到我院进行治疗的76例急性心肌梗死并发心室颤动患者,按照随机方法分为观察组和对照组,每组38例,在抢救的过程中,对照组落实常规的抢救护理,观察组配合优化抢救护理,对两组研究对象的救治时间、心功能、并发症发生率、生活质量、满意度等进行统计和比较。结果观察组的急救时间、出诊时间、入院时间、住院时间均短于对照组(P<0.05)。护理前,两组患者的心功能差异无统计学意义(P>0.05),护理后观察组的心功能改善优于对照组(P<0.05)。观察组(2例,占5.26%)的并发症发生率相比对照组(11例,占28.95%)明显更低(P<0.05)。护理前,两组患者的生活质量差异无统计学意义(P>0.05),护理后,观察组患者的生活质量改善比对照组更为显著(P<0.05)。观察组(36例,占94.74%)的满意度比对照组(30例,占78.95%)明显更高(P<0.05)。结论临床对急性心肌梗死并发心室颤动患者在护理时通过优化抢救护理的治疗方法进行干预能够提升患者的抢救治疗,改善患者的心功能,降低各类并发症发生的概率,提升整体生活质量和满意度。Objective To analyze the effective nursing cooperation in the rescue of patients with acute myocardial infarction complicated with ventricular fibrillation.Methods Seventy-six patients with acute myocardial infarction complicated with ventricular fibrillation who came to our hospital for treatment from January 2019 to February 2020 were randomly divided into observation group and control group,with an average of 38 cases in each group.During the process,the control group implemented routine rescue nursing,the observation group cooperated with optimized rescue nursing,and the rescue time,cardiac function,complication rate,quality of life,satisfaction,etc.of the two groups of research subjects were counted and compared.Results The emergency time,visiting time,admission time,hospitalization time and other time indicators of the observation group were all shorter than those of the control group(P<0.05).There was no significant difference in cardiac function(P>0.05).After nursing,the improvement of cardiac function in the observation group was better than that in the control group(P<0.05).Complications occurred in the observation group(2 cases,accounting for 5.26%),compared with the control group(11 cases,accounting for 28.95%),the rate was significantly lower(P<0.05).Before nursing,there was no significant difference in the quality of life between the two groups(P>0.05),and after nursing,the improvement of the quality of life of the observation group was more significant than that of the control group(P<0.05).The satisfaction of the observation group(36 cases,accounting for 94.74%)was higher than that of the control group(30 cases,accounting for 78.95%)(P<0.05).Conclusion Clinical intervention for patients with acute myocardial infarction complicated by ventricular fibrillation by optimizing the treatment methods of rescue nursing can improve the rescue treatment of patients,improve the cardiac function of patients,reduce the probability of various complications,and improve the overall quality of life and satisfactio

关 键 词：急性心肌梗死 心室颤动 优化抢救护理 满意度 生活质量 心功能 

分 类 号：R473.5[医药卫生—护理学] R542.2[医药卫生—临床医学]