除颤监护仪与常规心电监护仪在抢救急性心肌梗死患者中的应用效果评价  

Evaluation of the Application Effect of Defibrillator and Conventional ECG Monitor in the Rescue of Acute Myocardial Infarction Patients

作　　者：汪海媚 钱彩端 陈燕娇 简钢仁 WANG Hai-mei;QIAN Cai-duan;CHEN Yan-jiao;JIAN Gang-ren(Pucheng County Hospital,Fujian Nanping 353400;Fuzhou University Affiliated Provincial Hospital,Fujian Fuzhou 350001)

机构地区：[1]浦城县医院,福建南平353400 [2]福州大学附属省立医院,福建福州350001

出　　处：《中国医疗器械信息》2025年第2期22-24,42,共4页China Medical Device Information

摘　　要：目的:比较急性心肌梗死患者抢救过程中应用常规心电监护仪和除颤监护仪的效果。方法:本次研究对象为2024年1月~2024年3月浦城县医院收治的98例急性心肌梗死患者,患者入组后,采用单双号法将其分为观察组(49例)和对照组(49例),观察组患者应用除颤监护仪进行心电监护与心肺复苏,对照组患者应用常规心电监护仪进行心电监护与心肺复苏,对比两组患者心肺复苏成功率、心搏骤停发生率及抢救后的Q波振幅、Q波时限、相邻两个以上的胸前导联ST段抬高值、相邻两个以上的肢体导联ST段抬高值。结果:观察组患者心肺复苏成功率(100.00%)高于对照组(73.47%),观察组患者心搏骤停发生率(0)低于对照组(10.20%),观察组患者抢救后的Q波振幅(0.18±0.06)QRS波、Q波时限(0.0028±0.001)s、相邻两个以上的胸前导联ST段抬高值(0.76±0.04)mm、相邻两个以上的肢体导联ST段抬高值(0.79±0.05)mm低于对照组(0.29±0.15)QRS波、(0.0147±0.005)s、(1.53±0.52)mm、(1.61±0.54)mm,两组对比差异有统计学意义(P<0.05)。结论:在急性心肌梗死患者抢救过程中应用常规心电监护仪和除颤监护仪均有一定的效果,但是,除颤监护仪的抢救质量和效果优于常规心电监护仪,不仅能提高患者抢救成功率和降低其心搏骤停发生率,还能减轻其心肌损伤。Objective:To compare the effectiveness of using conventional electrocardiogram monitors and defibrillators in the rescue process of patients with acute myocardial infarction.Methods:The subjects of this study were 98 patients with acute myocardial infarction admitted to Pucheng County Hospital from January 2024 to March 2024.After enrollment,the patients were divided into an observation group(49 cases)and a control group(49 cases)using the odd even number method.The observation group patients received defibrillation monitoring and cardiopulmonary resuscitation,while the control group patients received conventional electrocardiogram monitoring and cardiopulmonary resuscitation.The success rate of cardiopulmonary resuscitation,the incidence of cardiac arrest,and the Q wave amplitude,Q wave duration,adjacent chest lead ST segment elevation values,and adjacent limb lead ST segment elevation values after rescue were compared between the two groups of patients.Results:The success rate of cardiopulmonary resuscitation in the observation group(100.00%)was higher than that in the control group(73.47%),and the incidence of cardiac arrest in the observation group(0)was lower than that in the control group(10.20%).The Q wave amplitude(0.18±0.06)QRS wave,Q wave duration(0.0028±0.001)s,ST segment elevation values of adjacent chest leads(0.76±0.04)mm,and ST segment elevation values of adjacent limb leads(0.79±0.05)mm in the observation group after rescue were lower than those in the control group(0.29±0.15)QRS wave,(0.0147±0.005)s,(1.53±0.52)mm,and(1.61±0.54)mm,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Both conventional electrocardiogram monitors and defibrillators have certain effects in the rescue process of patients with acute myocardial infarction.However,defibrillators have superior rescue quality and effectiveness compared to conventional electrocardiogram monitors.They can not only improve the success rate of patient rescue and reduce the incidence of sudden cardia

关 键 词：除颤监护仪 常规心电监护仪 抢救 急性心肌梗死 应用 

分 类 号：R473.5[医药卫生—护理学]