AMI再灌注治疗延误原因分析及对策

目的：通过对AMI再灌注治疗时间延误原因分析及对策，减少死亡率和致残率。方法：采用自制问卷调查对冠心病患者38例AMI患者进行再灌注治疗的调查，同时对90名急诊科护士、它科护士、CCU护士进行“对AMI再灌注治疗认识程度”进行调查。结果：院前延误时间为180min-72小时（自身延误120min或2天，交通延误60min），院内延误146min至12小时（急诊科延误56min，他科延误60min至12小时，CCU延误30min）；38例患者和家人中仅有3例对AMI的知识有所了解。CCU护士对AMI再灌注认识程度显著高于急诊科和它科护士。结论：加强对AMI患者和家人关AMI再灌注治疗有关知识的宣教，提高认识；加强对医护人员的培训；加强对“AMI临床路径”的管理，规范临床诊疗行为，专科专治，建立“绿色通道”。加强科问紧密协作，减少致死率和致残率。

Objective for AMI reperfusion therapy time delays cause analysis and countermeasures, reducing mortality and morbidity. Methods of self - questionnaire 38 patients with coronary heart disease in patients with AMI reperfusion therapy survey, while 90 emergency department nurses, it is nurses, CCU nurses＇awareness of AMI repeffusion therapy degree investigation. Resuhs： pre - hospital delay time was 180rain --72 hours （ 120 rain delay itself or 2 days, traffic delays 60rain）, hospital delay 146min to 12 hours （emergency department delays in 56rain, 60 rain delay his subjects to 12 hours, CCU delay 30 min） ; 38 patients and their families, only three cases of knowledge and understanding of the AMI. CCU nurses knowledge of AMI repeffusion was significantly higher than the emergency department and its nurses. Conclusion of the AMI patients and their families to strengthen relations with the knowledge AMI reperfusion therapy in the church, to raise awareness; to strengthen the training of medical staff; strengthen the ＂AMI clinical pathway＂ management, standardize clinical practice behavior, specialists of tyranny, to establish a ＂green channel ＂to strengthen the close collaboration between the Division, to reduce mortality and morbidity.