急救护理路径在急诊冠状动脉介入治疗绿色通道中的应用研究

Application of emergency nursing pathway in green channel for emergency coronary intervention

目的探析急救护理路径在急诊冠状动脉介入治疗绿色通道中的应用效果。方法选取2017年5月-2018年5月在我院急诊科行急诊冠状动脉介入治疗的80例患者,随机将其分为2组各40例。对照组实施常规护理,观察组实施急救护理路径,比较2组的各项临床指标。结果 2组患者进-出急诊室时间比较无显著差异(P>0.05);观察组急诊-首次球囊扩张时间(DTB)和住院时间均明显短于对照组,有显著差异(P<0.05);观察组的院内心肌梗死复发率、再次介入治疗率均显著低于对照组(P<0.05)。结论在急诊冠状动脉介入治疗绿色通道中应用急救护理路径,可缩短首次球囊扩张时间和住院时间,降低复发率,值得推广。

Objective To explore the application effect of emergency nursing pathway in the green channel of emergency coronary interventional therapy. Methods Eighty patients who underwent emergency coronary intervention in the emergency department of our hospital from May 2017 to May 2018 were enrolled. The patients were randomly divided into two groups,40 patients/group. The control group was given routine care,and the observation group implemented the emergency care route and compared the clinical indicators of the two groups. Results There was no significant difference between the two groups in the emergency room. The DTB(emergency-first balloon dilation time)and hospitalization time were significantly shorter in the observation group than in the control group. There were significant differences between the two groups. The in-hospital myocardial infarction in the observation group The recurrence rate and reintervention rate were significantly lower than the control group,and the difference was significant.Conclusion The application of emergency care pathway in the green channel of emergency coronary intervention can shorten the time of balloon dilation and hospitalization,and reduce the recurrence rate. It is worthy of promotion.