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作 者:代敏 DAI Min(Department of emergency,Guangzhou Medical University Affiliated Traditional Chinese Medicine Hospital,Guangzhou,Guangdong 510520)
机构地区:[1]广州医科大学附属中医医院,广东广州510520
出 处:《智慧健康》2025年第2期99-102,共4页Smart Healthcare
摘 要:目的评估在急性心肌梗死急救中联合应用分级分区管理与多维度协同干预的临床效果。方法选取2021年1月—2023年12月本院收治的50例急性心肌梗死患者,随机将其分为实验组(n=25)和对照组(n=25)。实验组予以分级分区管理与多维度协同干预,对照组采用常规急救护理管理措施;对比两组干预后效果。结果实验组急救响应时间、确诊时间、总急救时间明显短于对照组(P<0.05);实验组心电图总改善率明显高于对照组(P<0.05);实验组胸痛缓解时间明显短于对照组,肌钙蛋白I、肌酸激酶同工酶水平明显低于对照组(P<0.05);实验组并发症发生率明显低于对照组(P<0.05);实验组患者满意度明显高于对照组(P<0.05)。结论分级分区管理与多维度协同干预联合应用于急性心肌梗死的急救,能够显著减少急救时间,改善心电图表现,缩短胸痛缓解时间,优化心肌酶学指标,降低并发症发生率,并提高患者满意度,值得临床推广。Objective To evaluate the application effect of graded zoning management and multidimensional collaborative intervention in emergency treatment of acute myocardial infarction.Methods 50 patients with acute myocardial infarction from January 2021 to December 2023 were randomly divided into an experimental group(n=25)and a control group(n=25).The experimental group adopted graded zoning management and multidimensional collaborative intervention,while the control group adopted conventional emergency nursing management measures.The post intervention effects of two groups were compared.Results The emergency response time,diagnosis time,and total emergency time of the experimental group were significantly shorter than those of the control group(P<0.05);The overall improvement rate of electrocardiogram in the experimental group was significantly higher than that in the control group(P<0.05);The relief time of chest pain in the experimental group was significantly shorter than that in the control group,and the levels of troponin I and creatine kinase isoenzyme were significantly lower than those in the control group(P<0.05);The incidence of complications in the experimental group was significantly lower than that in the control group(P<0.05);The satisfaction of patients in the experimental group was significantly higher than that in the control group(P<0.05).Conclusion The combination of graded zoning management and multidimensional collaborative intervention in emergency treatment of acute myocardial infarction can significantly reduce emergency time,improve electrocardiogram performance,shorten chest pain relief time,optimize myocardial enzyme indicators,reduce the incidence of complications,and improve patient satisfaction.It is worthy of clinical promotion.
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