院前阿司匹林、氯吡格雷双联抗血小板药物治疗联合急诊抢救护理程序在急性心肌梗死患者中应用效果观察

The effect of aspirin and clopidogrel combined antiplatelet therapy combined with emergency rescue nursing program in patients with acute myocardial infarction

目的观察与探究院前双联抗血小板药物治疗联合急诊抢救护理程序在急性心肌梗死患者中应用效果。方法选取2014年4月～2017年4月于本院诊治的70例急性心肌梗死患者作为研究对象，按照随机数字表法分为观察组和对照组，每组35例，对照组患者急救现场给予阿司匹林300mg、氯吡格雷600mg嚼服同时给予常规急诊抢救护理程序，观察组患者急救现场给予阿司匹林300mg、氯吡格雷600mg嚼服同时给予优化急诊抢救护理程序，对比并分析2组患者的效果。结果观察组患者的抢救时间、急诊球囊扩张时间、进出急诊室时间、住院天数与对照组患者比较差异具有统计学意义（P＜0.05）；观察组患者的抢救成功率（97.14%）与对照组患者（80.00%）比较差异具有统计学意义（P＜0.05）；观察组患者的院内复发率（2.86%）与对照组患者（17.14%）比较差异具有统计学意义（P＜0.05）；观察组患者的护理满意度（97.14%）与对照组患者（77.14%）比较差异具有统计学意义（P＜0.05）。结论对急性心肌梗死患者实施院前双联抗血小板药物治疗联合急诊抢救护理程序的效果较好。

Objective To observe and explore the pre hospital dual antiplatelet therapy combined with emergency rescue nursing applicationeffect in patients with acute myocardial infarction.Methods70cases of patients with acute myocardial infarction in our hospital and treated fromApril2014to April2017as the research object,randomly divided into control group and observation group,35cases in each group.the controlgroup of patients first aid given aspirin300mg,clopidogrel600mg chewing and routine emergency care procedures for emergency patients in theobservation group were given aspirin300mg and clopidogrel600mg chawing simultaneously gives the optimization of emergency nursing procedure,and comparative analysis of two groups of patients.Results There were statistically significant differences of the duration of rescue,the time ofemergency balloon dilatation,the time of access to the emergency room and the number of hospital stay between the observation group and controlgroup(P<0.05);the success rate of rescue(97.14%)in the observation group was statistically significant(P<0.05)compared with the control group(80.00%,P<0.05);there was a significant difference in the recurrence rate(2.86%)between the observation group and the control group(17.14%,P<0.05);therewas significant difference in nursing satisfaction(97.14%)between the observation group and the control group(77.14%,P<0.05).Conclusion Thebetter implementation of hospital patients with acute myocardial infarction before dual antiplatelet therapy combined with emergency care program.