除颤监护仪、心电监护仪在急性心肌梗死患者监护中的作用  

The Role of Defibrillation Monitor and ECG Monitor in Monitoring Patients with Acute Myocardial Infarction

作　　者：陈亚惠 CHEN Ya-hui(Leping People’s Hospital,Jiangxi Jingdezhen 333300)

机构地区：[1]乐平市人民医院,江西景德镇333300

出　　处：《中国医疗器械信息》2024年第18期110-112,共3页China Medical Device Information

摘　　要：目的:观察除颤监护仪、心电监护仪在急性心肌梗死患者监护中的作用。方法:选取2020年1月~2023年6月乐平市人民医院收治的急性心肌梗死患者60例为观察对象,随机数字表法进行组别划分,对照组(患者纳入30例)、观察组(患者纳入30例),对照组给予心电监护仪监测、观察组给予除颤监护仪监测,观察两组救治情况、不良事件发生率、心功能情况,家属满意度情况。结果:两组自主循环恢复时间、冠脉再通时间、心肺复苏时间、住院时间进行对比,均有观察组<对照组(P<0.05)。不良事件发生率两组进行对比,观察组<对照组(P<0.05)。治疗前:进行左心室射血分数(LVEF)两组对比、左室舒张末期内径(LVDD)两组对比,组间无差异(P>0.05);治疗后进行两组对比,观察组LVEF更高,观察组LVDD更低,组间差异显著(P<0.05)。进行两组家属满意度对比,观察组高于对照组,组间差异显著(P<0.05)。结论:急性心肌梗死患者监护中采用除颤监护仪效果理想,可以缩短患者心肺复苏时间、冠脉再通时间,降低不良事件发生率,使得患者心功能得到改善,患者家属对治疗更为满意。Objective:To observe the role of defibrillation monitor and ECG monitor in the monitoring of patients with acute myocardial infarction.Methods:Patients(type-acute myocardial infarction)admitted to Leping People’s Hospital were selected as the observation objects.The number of patients included 60 cases,and the admission time was January 2020 to June 2023.Random number table method was used to divide the patients into control group(30 patients included)and observation group(30 patients included).The control group was monitored by ECG monitor,and the observation group was monitored by defibrillation monitor.The treatment status,incidence of adverse events,cardiac function and family satisfaction of the two groups were observed.Results:The spontaneous circulation recovery time of two groups,coronary artery recirculation time of two groups,cardiopulmonary resuscitation time of two groups and hospitalization time of two groups were compared,and there were observation group<control group(P<0.05).The incidence of adverse events was compared between the two groups,with the observation group<the control group(P<0.05).Before treatment:Left ventricular ejection fraction(LVEF)was compared between two groups,and left ventricular end-diastolic diameter(LVDD)was compared between two groups,and there was no difference between groups(P>0.05).After treatment,LVEF in observation group was higher,LVDD in observation group was lower(P<0.05),and the difference between groups was significant.Compared with the two groups,the observation group was higher than the control group(P<0.05),and the difference between groups was significant.Conclusion:The effect of defibrillation monitor in the monitoring of patients with acute myocardial infarction is ideal,which can shorten the time of cardiopulmonary resuscitation and coronary artery recirculation,reduce the incidence of adverse events,improve the cardiac function of patients,and make patients’families more satisfied with treatment.

关 键 词：除颤监护仪 心电监护仪 心功能 急性心肌梗死 心室颤动 

分 类 号：R473.5[医药卫生—护理学]