急性心肌梗死患者急救中心导管室前驱激活模式的应用价值  

Application Value of Prodromal Activation Mode in Cath Lab in Emergency Center for Patients with Acute Myocardial Infarction

作　　者：王淑玉[1] 江秀榕 陈燕娇[1] WANG Shuyu;JIANG Xiurong;CHEN Yanjiao(Emergency Room of Fujian Provincial Hospital(Key Laboratory of Emergency Medicine of Fujian Province),Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建省立医院急诊抢救室(福建省急诊医学重点实验室),福建福州350001

出　　处：《中外医疗》2023年第8期76-80,共5页China & Foreign Medical Treatment

摘　　要：目的探讨心导管室前驱激活模式应用于急性心肌梗死患者急救护理中的价值。方法福建省立医院于2021年12月开始在急救护理中实施心导管室前驱激活模式,方便选取2021年1月—2022年12月到福建省立医院就诊的118例急性心肌梗死患者为研究对象,均接受经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗,将2021年12月前入院就诊的59例患者作为对照组,采用常规急救护理模式,将2021年12月及之后入院就诊的59例患者作为观察组,在常规急救护理中加入心导管室前驱激活模式,对比两组患者的急救效率、PCI成功率、院内病死率、并发症发生率、焦虑情况及家属满意度。结果观察组首次医疗接触至首份心电图(FMC-to-ECG)时间、首次医疗接触至球囊扩张(FMC-to-B)时间、入门至球囊扩张(D-to-B)时间、胸痛发作到球囊扩张时间(S-to-B)分别为(9.68±2.47)、(82.62±8.59)、(18.24±5.33)、(86.73±9.68)min,显著短于对照组,差异有统计学意义(P<0.05)。观察组PCI成功率为93.22%与家属总满意度为94.91%显著高于对照组,差异有统计学意义(χ^(2)=10.951、9.440,P<0.05)。观察组并发症发生率、患者及家属SAS评分显著低于对照组,差异有统计学意义(P<0.05)。两组院内病死率比较,差异无统计学意义(P>0.05)。结论急救护理中心导管室前驱激活模式的应用能够有效缩短急救时间,提高PCI治疗成功率并降低术后并发症发生率,同时能够有效缓解患者及家属的焦虑情绪,提升家属满意度。Objective To explore the value of cardiac catheterization laboratory prodromal activation model in emergency nursing of patients with acute myocardial infarction.Methods Fujian Provincial Hospital began to implement the cardiac catheter laboratory precursor activation mode in emergency care in December 2021,and conveniently selected 118 patients with acute myocardial infarction who visited the Fujian Provincial Hospital from January 2021 to December 2022 as the research objects.All received percutaneous coronary intervention(PCI)treatment.The 59 patients admitted before December 2021 were treated as the control group,the routine emergency nursing model was adopted,and the 59 patients admitted after December 2021 were treated as the observation group.The cardiac catheter lab precursor activation mode was added to routine emergency care,and the first aid efficiency,PCI success rate,inhospital mortality,complication rate,anxiety and family satisfaction of the two groups were compared.Results In the observation group,the time from the first medical contact to the first electrocardiogram(FMC-to-ECG),the time from the first medical contact to balloon dilatation(FMC-to-B),the time from entry to balloon dilatation(D-to-B)and the time from chest pain onset to balloon dilatation(S-to-B)were(9.68±2.47)min and(82.62±8.59)min,(18.24±5.33)min,(86.73±9.68)min,respectively,significantly shorter than the control group,and the difference was statistically significant(P<0.05).Observation group success rate of PCI(93.22%),family members total satisfaction was 94.91%,significantly higher than that of control group,and the difference was statistically significant(χ^(2)=10.951,9.440,P<0.05).The incidence of complications and SAS scores of patients and their families in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in in-hospital case fatality rate between the two groups(P>0.05).Conclusion The

关 键 词：急性心肌梗死 急救护理 心导管室 前驱激活模式 急救效率 焦虑 

分 类 号：R47[医药卫生—护理学]