急救护理在急性心肌梗死介入治疗的应用分析

Application Analysis of Emergency Nursing in Interventional Therapy of Acute Myocardial Infarction

目的探讨急性心肌梗死(AMI)急诊介入治疗护理中应用急救护理流程的临床价值。方法选择本院2017年1月—2019年1月收治的AMI患者90例进行分组研究,以随机数表法分为观察组与对照组,各45例。两组患者均接受急诊介入治疗,对照组予以常规急诊护理,观察组则予以急救护理流程进行护理。记录两组抢救时间、急诊球囊扩张时间、住院时间、抢救成功率、院内再次介入治疗率、院内复发率及家属满意率,予以组间统计学分析。结果观察组抢救时间、急诊球囊扩张时间、住院时间更短[(31.29±2.88)minvs.(55.19±4.56)min,(77.29±5.62)minvs.(110.28±8.92)min,(11.28±2.35)dvs.(13.92±3.10)d],而抢救成功率与家属满意率更高(95.56%vs.75.56%,100.00%vs.80.00%),院内再次介入治疗率与院内复发率更低(11.11%vs.24.44%,8.89%vs.26.67%),与对照组比较差异均有统计学意义(P<0.05)。结论急性心肌梗死急诊介入治疗护理期间采取急救护理流程进行处理,一方面可以提高抢救成功率,减少院内再次介入治疗与复发,另一方面还可缩短抢救时间、急诊球囊扩张时间、住院时间,使得患者家属对护理更满意。

Objective To investigate the clinical value of emergency nursing procedure in emergency interventional therapy for acute myocardial infarction(AMI).Methods A total of 90 patients with AMI admitted to our hospital from January 2017 to January 2019 were enrolled in this study.The patients were divided into observation group and control group by random number table method,45 cases each.Both groups received emergency interventional therapy,the control group received routine emergency care,and the observation group received emergency care procedures for care.The rescue time,emergency balloon dilation time,hospitalization time,rescue success rate,in-hospital reintervention rate,in-hospital recurrence rate and family satisfaction rate were recorded.Results The rescue time,emergency balloon dilation time,and hospital stay were shorter in the observation group[(31.29±2.88)min vs.(55.19±4.56)min,(77.29±5.62)min vs.(110.28±8.92)min,(11.28±2.35)d vs.(13.92±3.10)d].Rescue success rate and family satisfaction rate were higher(95.56%vs.75.56%,100.00%vs.80.00%),the rate of re-intervention in hospital and hospital recurrence rate was lower(11.11%vs.24.44%,8.89%vs.26.67%),and control The differences between the groups were statistically significant(P<0.05).Conclusion Emergency interventional therapy for acute myocardial infarction is treated with emergency care process.On the one hand,it can improve the success rate of rescue,reduce the intervention and recurrence in the hospital,and shorten the rescue time,emergency balloon dilation time and hospitalization time.To make the patient's family more satisfied with the care.