老年急性心肌梗死患者标准序贯分级干预效果分析

Effect of Standard Sequential Grading Intervention on Elderly Patients with Acute Myocardial Infarction

目的探讨标准序贯分级干预在老年急性心肌梗死患者中的应用效果。方法将2016年7月—2018年8月间在中国医学科学院阜外深圳医院接受治疗的90例老年急性心肌梗死患者作为研究对象,以数字随机分组法将患者分为观察组与对照组,每组各45例;对照组实施心内科常规治疗,观察组在此基础上联用标准序贯分级干预,比较两组的预后及并发症。结果观察组有创机械通气率、CCU入院率及CCU病死率均低于对照组,组间比较差异有统计学意义(P<0.05);观察组并发症率为8.89%(4/45),低于对照组的22.22%(10/45),组间比较差异有统计学意义(P<0.05)。结论标准序贯分级干预能有效改善老年急性心肌梗死患者的预后,值得临床推广。

Objective To explore the effect of standard sequential grading intervention in elderly patients with acute myocardial infarction.Methods 90 elderly patients with acute myocardial infarction treated in the hospital from July,2016 to August,2018 were selected as the research subjects.Patients were divided into observation group and control group by digital random grouping method, with 45 cases in each group.The control group were given routine treatment in Department of Cardiology,while the observation group were intervened by standard sequential grading intervention on this basis.Prognosis and complications were compared between the two groups.Results The invasive mechanical ventilation rate,CCU admission rate and CCU mortality rate in the observation group were lower than those in the control group,with statistical significance between two groups(P<0.05).The complication rate in the observation group was 8.89%(4/45),which was lower than that in the control group(22.22%(10/45)(P<0.05).There was statistically significant difference(P<0.05).Conclusion Standard sequential grading intervention can effectively improve the prognosis of elderly patients with acute myocardial infarction,which is worthy of clinical promotion.