优化急救流程对急性心肌梗死患者抢救时间及急救效果的影响

Effects of Emergency Flow Optimization on Rescue Time and Emergency Effects of the Patients with Acute Myocardial Infarction

目的:探析优化急救流程运用于急性心肌梗死患者中对抢救时间及急救效果的影响。方法:将144例患者随机分为对照组和观察组,每组各72例,对照组开展常规急救流程,观察组实施优化急救流程,比较2组急救措施及住院时间、急救效果、APACHEⅡ评分、满意度。结果:启动救治时间、溶栓时间及住院时间2组比较,差异有统计学意义(P<0.05);出诊时间2组比较,差异无统计学意义(P>0.05)。抢救成功率、病死率、并发症发生率2组比较,差异有统计学意义(P<0.05)。APACHEⅡ评分转运过程中2组比较,差异无统计学意义(P>0.05);入院后2组比较,差异有统计学意义(P<0.05)。满意度评分2组比较,差异有统计学意义(P<0.05)。结论:优化急救流程有助于提高急性心肌梗死患者急救成功率,缩短等待治疗时间,降低死亡率,改善患护关系。

Objective：To analyze the effects of emergency flow optimization on rescue time and emergency effects of the patients with acute myocardial infarction.Methods：All 144 patients were randomized into the control group and the observation group,72 cases each group,the control group accepted conventional emergency flow,and the observation group were implemented emergency flow optimization,rescue measures,hospitalization time,emergency effects,APACHE Ⅱ scales and satisfactory degrees of both groups were compared.Results：The difference had statistical meaning when starting rescue time,thrombolysis time and hospitalization time were compared between both groups（P〈0.05）; the difference had no statistical meaning in the comparisons of visiting time between both groups（P〉0.05）.The difference showed statistical meaning in the comparisons of rescue success rate,mortality rate and the incidence of the complications between both groups（P 〈0.05）.The difference had no statistical meaning in the comparisons of APACHE Ⅱ scales during the transport process（P〈0.05）; the difference had statistical meaning in the comparisons between both groups after the admission（P 〈0.05）.The difference had statistical meaning in the comparisons of the scales of satisfactory degrees（P〈0.05）.Conclusion：Emergency flow optimization is helpful to raise rescue success rate of the patients,shorten the waiting time,decrease mortality rate and improve patient-nurse relationship.