院前急救护理路径在急性心肌梗死患者抢救中的应用  

作　　者：蒋建芬[1] 徐琪[2] 姚强[1] 郑友清 

机构地区：[1]杭州市红十字会医院,310003 [2]浙江省杭州市急救中心,310021 [3]杭州市上城区凯旋街道社区卫生服务中心,310020

出　　处：《浙江临床医学》2023年第5期750-751,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨院前急救护理路径在抢救急性心肌梗死患者中的作用。方法回顾性分析2018年10月至2019年9月杭州院前转送收治的90例急性心肌梗死患者,根据院前护理方式的不同,将患者分为对照组与观察组。对照组患者采用常规院前急救护理,观察组患者采用院前急救护理路径干预,比较两组各指标。结果观察组患者院前反应时间、急救时间、球囊扩张时间、住院时间分别为(30.96±4.62)min、(33.14±3.48)min、(75.34±13.66)min及(9.60±2.27)d,并发症发生率8.89%,均明显低于对照组,差异有统计学意义(P<0.05)。结论院前急救护理路径在急性心肌梗死患者诊治中,可以缩短抢救时间,提高救治效率,降低并发症发生率,值得临床推广应用。Objective To explore the role of pre-hospital emergency nursing pathway in rescuing patients with acute myocardial infarction.Methods A total of 90 patients with acute myocardial infarction,who were transferred and admitted in Hangzhou from October 2018 to September 2019,were retrospectively analyzed.According to the different pre-hospital care methods,patients were divided into control group and observation group.Patients in the control group received personalized pre-hospital emergency care,while the observation group were received with pre-hospital emergency nursing pathway.Data were compared between the two groups.Results The emergency response time,prehospital emergency time,balloon dilation time,and hospitalization time of the patients in the control group were 30.96±4.62 min,33.14±3.48 min,75.34±13.66 min and 9.60±2.27 d,respectively,and the incidence of complications was 8.89%,which were significantly lower than the observation group(P<0.05).Conclusion Pre-hospital emergency nursing pathway in the diagnosis and treatment of patients with acute myocardial infarction can shorten the rescue time,improve the efficiency of pre-hospital treatment and reduce the incidence of complications,which is worthy of clinical application.

关 键 词：院前急救护理路径 急性心肌梗死 抢救 

分 类 号：R473.5[医药卫生—护理学]