急性心肌梗死患者院前急救与护理探讨

Pre-hospital care and nursing for patients with acute myocardial infarction

目的分析急性心肌梗死患者院前急救与护理方式。方法将2016年1月到2016年12月在本院接受急救治疗的80例急性心肌梗死患者作为研究对象,按照患者入院方式纳入干预组与对比组(n=40)。对比组患者直接前来急诊科就诊,未接受院前急救护理;干预组实施院前急救护理。比较两组患者的死亡率与并发症发生率。结果对比组患者死亡率为12.5%,并发症发生率为17.5%;干预组患者死亡率为5%,并发症发生率为7.5%,对比组患者各项指标均高于干预组患者,差异比较具有统计学意义(P<0.05)。结论急性心肌梗死患者院前急救与护理,会直接影响患者的死亡率与并发症发生率,对患者预后能够产生重要影响,建议推广应用。

Objective To investigate pre-hospital care and nursing method for patients with acute myocardial infarction. Methods A total of 80 patients with acute myocardial infarction who received emergency treatment in our hospital from January to December, 2016 were enrolled, and according to the pattern of admission, they were divided into intervention group and control group, with 40 patients in each group. The patients in the control group directly visited Emergency Department and did not receive pre-hospital emergency nursing, and those in the intervention group were given pre-hospital emergency nursing. The death rate and incidence of complications were compared between the two groups. Results Compared with the control group, the intervention group had significantly lower death rate （5% vs 12.5%, P〈0.05） and incidence rate of complications （7.5% vs 17.5%, P〈0.05）. Conclusion Pre-hospital care and nursing for patients with acute myocardial infarction has a direct effect on death rate and incidence of complications and can influence patients＇ prognosis. Therefore, it holds promise for clinical application.