胸痛中心运行模式下护理人员在STEMI救治中的作用

Roles of nursing staff in treatment of STEMI under operating mode of chest paincenter

以胸痛为主要临床表现的急性心肌梗死、主动脉夹层及肺动脉栓塞等疾病具有救治时间窗短、病情变化快和死亡率高等特点,严重危害人类健康和生命。胸痛中心可为上述以胸痛为主要临床表现的急危重症患者提供快速诊疗通道,尤其缩短ST段抬高型急性心肌梗死(STEMI)患者的再灌注治疗时间。因此,胸痛中心的运行对于提高我国急性胸痛尤其是STEMI患者的救治水平具有重要的意义。胸痛中心的建设与运行中需不同学科的人员包括护理团队的积极配合才能使高危胸痛尤其是STEMI患者得到及时的救治,但目前国内仍缺乏规范、统一的胸痛救治护理流程。此外,国内外关于护理人员在胸痛中心建设与运行中的作用总结分析亦较少。本文就关于护理团队在胸痛中心运行模式下在STEMI患者救治中的作用作一综述,为同行提供参考。

With chest pain as the main clinical manifestation, acute myocardial infarction, aortic dissection and pulmonary embolism have the characteristics of short time window for treatment, quick change and high mortality, they are serious harm to human health and life. The chest pain center can provide a rapid diagnosis and treatment for the patients with severe chest pain as the main clinical manifestations, especially in patients with ST segment elevation acute myocardial infarction（STEMI）. Therefore, the operation of chest pain center has great significance to improve the treatment of acute chest pain, especially in patients with STEMI. In order to make high risk chest pain patients, especially STEMI patients get timely treatment, the construction and operation of chest pain centers need to cooperate actively with different subjects, including the cooperation of nursing team. However, there is still a lack of standardized and unified treatment nursing process of chest pain at present. In addition, informations about the roles of nursing staff in the construction and operation of chest pain center is also less. In this paper, it reviewes the roles of the nursing team in the treatment of STEMI patients in chest pain center, in order to provide a reference for the peer.