“云急救”在急性心肌梗死患者院前急救中的实施效果  

Eff ect of"cloud-based emergency care"in pre-hospital emergency care for patients with acute myocardial infarction

作　　者：王翰婷 方鹏 王莹 李晶晶 王学伶 WANG Hanting;FANG Peng;WANG Ying;LI Jingjing;WANG Xueling(Beijing Tsinghua Changgeng Hospital,Beijing 102218,China)

机构地区：[1]北京清华长庚医院急诊科,北京市102218

出　　处：《护理实践与研究》2025年第2期166-171,共6页Nursing Practice and Research

基　　金：北京市科技计划课题任务书(编号:Z211100002921121)。

摘　　要：目的分析“云急救”在提高急性心肌梗死患者院前急救效果中的应用。方法选取2020年1月—2021年3月医院收治的510例急性心肌梗死患者为研究对象,按照组间基线资料均衡可比的原则将其分为对照组和观察组,各255例。对照组采用常规院前急救护理方案,观察组在对照组的基础上采用“云急救”护理方案。比较两组患者院前急救效率、急救转运效率、抢救效率、抢救期间心源性不良事件发生情况和急救成功率。结果观察组患者急救中医护人员出车反应时间、首次心电图时间、院前急救时间、急救电话至转运到院时间、院内接诊至分诊时间、院内分诊至会诊时间、会诊至确诊时间、静脉通道建立时间、临时起搏器使用时间、心脏电复律操作时间、转运到院至“门球”时间和转运到院至溶栓治疗时间短于对照组,差异有统计学意义(P<0.05)。观察组患者抢救期间心源性不良事件总发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者急救成功率高于对照组,差异有统计学意义(P<0.05)。结论“云急救”在急性心肌梗死患者院前急救中实施效果良好,可提高院前急救、急救转运和抢救的效率,降低抢救期间心源性不良事件发生风险,提高急救成功率。Objective To analyze the application of"cloud-based emergency care"in improving pre-hospital emergency care for patients with acute myocardial infarction.Methods A total of 510 patients with acute myocardial infarction admitted to the hospital from January 2020 to March 2021 were selected as the study subjects.According to the principle of balanced and comparable baseline data between groups,they were divided into a control group and an observation group,with 255 cases in each group.The control group received conventional pre-hospital emergency care,while the observation group received the"cloud-based emergency care"nursing program based on the control group.The two groups of patients were compared in terms of pre-hospital emergency care efficiency,emergency transport efficiency,resuscitation efficiency,the occurrence of cardiogenic adverse events during resuscitation,and the success rate of emergency care.Results In the observation group,the response time of medical staffin emergency treatment,time tofirst ECG,time to pre-hospital emergency care,time from emergency call to hospital transfer,time from hospital reception to triage,time from hospital triage to consultation,time from consultation to diagnosis,time to establish intravenous access,time to use of temporary pacemaker,time to cardioversion,time from hospital transfer to"door-to-balloon",and time from hospital transfer to thrombolytic therapy were all shorter than those in the control group,the differences were statistically significant(P<0.05).The total incidence of cardiogenic adverse events during resuscitation in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The success rate of emergency care in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of"cloud-based emergency care"in pre-hospital emergency care for patients with acute myocardial infarction has achieved good results.It can im

关 键 词：“云急救” 急性心肌梗死 院前急救 急救效率 心源性不良事件 急救成功率 

分 类 号：R473.54[医药卫生—护理学]