基于胸痛中心的急救优化护理在急性心肌梗死患者中的应用效果  

Application effect of first aid optimization nursing based on chest pain center in patients with acute myocardial infarction

作　　者：李建安 吕蕾 LI Jian'an;LYU Lei(Department of Emergency,the Third People's Hospital in Liaocheng,Liaocheng,Shandong 252000,China;Support Center,the Third People's Hospital in Liaocheng,Liaocheng,Shandong 252000,China)

机构地区：[1]聊城市第三人民医院急诊科,山东聊城252000 [2]聊城市第三人民医院支持中心,山东聊城252000

出　　处：《医药前沿》2025年第11期116-119,共4页Journal of Frontiers of Medicine

摘　　要：目的分析基于胸痛中心的急救优化护理在急性心肌梗死患者中的应用效果。方法回顾性分析2022年9月—2023年9月聊城市第三人民医院收治的80例急性心肌梗死患者,按照不同急救护理方式分为观察组和对照组,各40例。对照组采用常规急救护理,观察组采用基于胸痛中心的急救优化护理。比较两组急救时间、急救效果、心功能指标、心血管不良事件和对护理满意度。结果观察组急诊室停留、静脉通道建立及转出至介入血管球囊开通时间短于对照组,救治成功率和对护理总满意度高于对照组,转院率和心血管不良事件总发生率低于对照组;护理后,两组左室射血分数(LVEF)高于护理前,左室收缩末期内径(LVESD)和左室舒张末期内径(LVEDD)低于护理前,且观察组LVEF高于对照组,LVESD和LVEDD低于对照组(P<0.05)。结论基于胸痛中心的急救优化护理可缩短心肌梗死患者急救时间,提高救治成功率,改善心功能指标,降低转院率和心血管不良事件发生率,提升患者对护理满意度。Objective To analyze the application effect of first aid optimization nursing based on chest pain center in patients with acute myocardial infarction.Methods A retrospective analysis of 80 patients with acute myocardial infarction admitted to the Third People's Hospital in Liaocheng from September 2022 to September 2023 was divided into observation group and control group according to different first aid nursing methods,40 cases in each group.The control group was given routine first aid nursing,while the observation group was given first aid optimization nursing based on chest pain center.The first aid time,first aid effect,cardiac function index,cardiovascular adverse events and nursing satisfaction were compared between the two groups.Results The time of first aid room stay,venous channel establishment and transfer to interventional vascular balloon opening in the observation group was shorter than that in the control group,the success rate of treatment and the total satisfaction of nursing were higher than those in the control group,and the transfer rate and the total incidence of cardiovascular adverse events were lower than those in the control group.After nursing,the left ventricular ejection fraction(LVEF)of the two groups was higher than that before nursing,and the left ventricular end systolic diameter(LVESD)and left ventricular end-diastolic dimension(LVEDD)were lower than those before nursing.The LVEF of the observation group was higher than that of the control group,and the LVESD and LVEDD were lower than those of the control group(P<0.05).Conclusions The first aid optimization nursing based on chest pain center can effectively shorten the first aid time of patients with myocardial infarction,improve the success rate of treatment,improve the cardiac function index,reduce the transfer rate and the incidence of cardiovascular adverse events,and improve the patient's satisfaction with nursing.

关 键 词：急性心肌梗死 胸痛中心 急救优化护理 急救时间 左室射血分数 心血管不良事件 护理满意度 

分 类 号：R473[医药卫生—护理学]