急性心肌梗死患者院前急救护理的临床效果分析  

Clinical Analysis of Prehospital Emergency Nursing in Patients with Acute Myocardial Infarction

作　　者：江翠芳 吴辉云 吴薇薇 JING Cuifang;WU Huiyun;WU Weiwei(Emergency Department of Fuding City Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuding 355200,China)

机构地区：[1]福建中医药大学附属福鼎市医院急诊科,福建福鼎355200

出　　处：《中华灾害救援医学》2025年第2期237-239,243,共4页Chinese Journal of Disaster Medicine

基　　金：宁德市自然科学基金(2023J51)。

摘　　要：目的探讨在急性心肌梗死(Acute Myocardial Infarction,AMI)患者中开展院前急救护理的临床效果。方法选取2022年1月至2023年2月福建中医药大学附属福鼎市医院收治的AMI患者230例,按照随机数字法将入选者分成对照组(n=115)和观察组(n=115),分别给予常规急诊护理和针对性院前急救护理,比较两组的护理效果。结果护理干预前,两组间的日常生活能力(Barthel Index,BI)评分比较差异无统计学意义(P>0.05);干预后,观察组BI评分高于对照组,差异有统计学意义(P<0.05);观察组患者的抢救成功率高于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组总急救时间、静脉通道建立时间和确诊时间均短于对照组,差异有统计学意义(P<0.05)。结论针对性院前急救护理可为AMI患者争取更多的急救时机,对改善其预后有积极作用。Objective To evaluate the clinical effectiveness of pre-hospital emergency nursing in patients with acute myocardial infarction(AMI).Methods 230 patients with acute myocardial infarction(AMI)admitted to Fuding Hospital affiliated with Fujian University of Traditional Chinese Medicine from January 2022 to February 2023 were selected.The selected patients were randomly divided into a control group(n=115)and an observation group(n=115),and received routine emergency care and targeted pre hospital emergency care,respectively.The nursing effects of the two groups were compared.Results Before the nursing intervention,there was no statistically significant difference in the Barthel Index(BI)scores between the two groups(P>0.05);After intervention,the BI score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05);The success rate of rescue in the observation group was higher than that in the control group,and the incidence of complications was lower than that in the control group,with statistical significance(P<0.05);The total emergency time,venous access establishment time,and diagnosis time of the observation group were shorter than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Targeted pre hospital emergency nursing can provide AMI patients with more opportunities for emergency treatment and have a positive effect on improving their prognosis.

关 键 词：急性心肌梗死 院前急救护理 效果 

分 类 号：R472.2[医药卫生—急诊医学]