基于GRACE评分的针对性分级干预对急性心源性胸痛患者的影响  

Effect of Targeted Grading Intervention based on GRACE Risk Score on Patients with Acute Cardiac Chest Pain

作　　者：翁鑫聪 彭佳峰 赵丹芳 Weng Xincong;Peng Jiafeng;Zhao Danfang(Veterans′Hospital of Zhejiang Province,Jiaxing Zhejiang 314001,China)

机构地区：[1]浙江省荣军医院,浙江嘉兴314001

出　　处：《齐鲁护理杂志》2024年第18期1-4,共4页Journal of Qilu Nursing

摘　　要：目的:探讨基于GRACE评分的针对性分级干预对急性心源性胸痛患者介入治疗时机、抢救成功率及预后的影响。方法:选取2021年1月1日~2023年1月31日收治的82例急性心源性胸痛患者为研究对象,2021年1月1日~12月31日开展常规急救诊治流程的41例为对照组,2022年1月1日~2023年1月31日开展基于GRACE评分的针对性分级干预的41例为观察组;比较两组急诊治疗指标、抢救成功率、预后情况及并发症发生情况。结果:观察组球囊扩张时间、支架置入时间、急诊停留时间、住院时间、首次医疗接触至首份心电图时间、首份心电图完成至首份心电图确诊时间、肌钙蛋白获得时间、首次医疗接触至负荷量双抗给药时间和导管室激活时间均短于对照组(P<0.01,P<0.05);观察组抢救成功率、预后情况均优于对照组(P<0.05),并发症发生率低于对照组(P<0.05)。结论:基于GRACE评分的针对性分级干预能够提高急性心源性胸痛患者救治的效率和抢救成功率,改善其预后,降低并发症的发生率。Objective:To investigate the effect of targeted grading intervention based on GRACE risk score on the timing of interventional therapy,rescue success rate and prognosis of patients with acute cardiac chest pain.Methods:A total of 82 patients with acute cardiac chest pain admitted from January 1,2021 to January 31,2023 were selected as the study objects.The 41 coses with routine emergency diagnosis and treatment process from January 1 to December 31,2021 was carried out in the control group,and 41 coses with targeted grading intervention based on GRACE risk score from January 1,2022 to January 31,2023 was carried out in the observation group.The emergency treatment indicators,rescue success rate,prognosis and complications were compared between the two groups.Results:The DBT,stent placement time,emergency stay time,hospital stay time,the time from the first medical contact to the first taking of ECG,the time from the first taking of ECG to the first ECG diagnosis,the time to obtain troponin,the time from the first medical contact to the administration of loading dose double antibody,and the activation time of the catheterization laboratory were shorter in the observation group than those in the control group(P<0.01,P<0.05).The rescue success rate and prognosis in the observation group were better than those in the control group(P<0.05),and the incidence of complications was lower than that in the control group(P<0.05).Conclusion:The targeted grading intervention based on GRACE risk score can improve the efficiency and success rate of rescue,improve the prognosis,and reduce the incidence of complications in patients with acute cardiac chest pain.

关 键 词：急性心源性胸痛 GRACE评分 针对性分级干预 介入治疗时机 抢救成功率 

分 类 号：R473.54[医药卫生—护理学]