急诊护理路径在基层医院急性ST段抬高型心肌梗死患者抢救中的应用

Application of emergency nursing pathway on the rescue of patients with acute ST-segment elevation myocardial infarction in basic hospital

目的 观察急诊护理路径在基层医院急性ST段抬高型心肌梗死（ STEMI）患者中的应用效果.方法 选择2014年1~11月间我院收治的56例STEMI患者作为观察组,另选择2013年1~12月间我院收治的52例STEMI患者作为对照组. 对照组按传统急救护理流程及医嘱进行护理配合,观察组采用急诊护理路径. 结果 观察组急诊停留时间、急诊-溶栓再通时间均显著短于对照组（P〈0. 01）,而溶栓再通率则明显高于对照组（P〈0. 05）;观察组住院时间、并发症发生率及行补救性经皮冠状动脉介入治疗（PCI）的比率均显著低于对照组（ P〈0. 05 ）. 结论 急诊护理路径应用于STEMI患者能显著缩短治疗时间,提高抢救成功率.

Objective To observe the effect of emergency nursing pathway on patients with acute ST-segment elevation myocardial infarction （ STEMI） in basic hospital. Methods A total of 56 cases of patients with ST-segment elevation myocardial infarction （ STEMI） in our hospital from January 2014 to November 2014 were selected as observa-tion group, while 52 cases with STEMI in our hospital from January 2013 to December 2013 were selected as control group. Patients in control group were given conventional nursing, while in the observation group were given with emer-gency nursing pathway. Results Emergency stay time and thrombolysis recanalization time in observation group were significantly shorter than those of control group （ P〈0. 01 ） , but the thrombolysis recanalization rate was significantly higher than that of control group （P〈0. 05） . The hospitalization time, incidence rate of complications and remedy rate of percutaneous coronary intervention （ PCI） of observation group were significantly higher than those of control group （ P〈0. 05 ） . Conclusions The application of emergency nursing pathway on patients with STEMI could obviously short-en the treatment time and enhance the success rate of first aid.