“五化”积极急诊救治模式在急性心肌梗死患者中的应用效果  

Application effect of"Five huas"active emergency treatment mode in patients with acute myocardial infarction

作　　者：倪春霞 王琦[1] NI Chunxia;WANG Qi(Nursing Department,Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院护理部,上海200127

出　　处：《医药前沿》2025年第10期114-116,共3页Journal of Frontiers of Medicine

摘　　要：目的探讨“五化”积极急诊救治模式在急性心肌梗死(AMI)患者中的应用效果。方法回顾性分析2022年4月—2024年1月上海交通大学医学院附属仁济医院急诊科收治的100例AMI患者的临床资料,将2022年4月—2023年2月收治的47例AMI患者纳入对照组,将2023年3月—2024年1月收治的53例AMI患者纳入观察组。对照组采取传统急救模式,观察组在对照组基础上采取“五化”积极急诊救治模式。比较两组急救效率、救治成功率及并发症发生率。结果观察组院前急救反应时间、预检分诊时间、心电图确认时间、导管室启动时间、门-球囊扩张时间均短于对照组,救治成功率高于对照组,并发症发生率低于对照组(P<0.05)。结论“五化”积极急诊救治模式能够有效缩短AMI患者院前急救反应、预检分诊等关键环节的时间,提高急救效率和救治成功率,降低并发症发生率。Objective To explore the application effect of"Five huas"active emergency treatment mode in patients with acute myocardial infarction(AMI).Methods A retrospective analysis was conducted on the clinical data of 100 AMI patients admitted to the Department of Emergency of Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine between April 2022 and January 2024.Patients admitted from April 2022 to February 2023(n=47)were assigned to the control group,while those admitted from March 2023 to January 2024(n=53)were assigned to the observation group.The control group adopted the traditional first aid mode,and the observation group adopted the"Five huas"active emergency treatment mode on the basis of the control group.The first aid efficiency,treatment success rate and complication rate were compared between the two groups.Results The prehospital emergency response time,pre-examination triage time,electrocardiogram confirmation time,catheter room start time,doorto-balloon time in the observation group were shorter than those in the control group,the success rate of treatment was higher than that in the control group,and the incidence of complications was lower than that in the control group(P<0.05).Conclusion The"Five huas"active emergency treatment mode can effectively shorten the time of key links such as pre-hospital emergency response and pre-examination triage of AMI patients,improve the efficiency of first aid and the success rate of treatment,and reduce the incidence of complications.

关 键 词：心肌梗死 “五化”积极急诊救治模式 急救效率 救治成功率 并发症 

分 类 号：R473[医药卫生—护理学]