急性心肌梗死患者应用优化急诊护理流程的救治效果及抢救成功率分析

Analysis of the Treatment Effect and Rescue Success Rate of Patients with Acute Myocardial Infarction Using Optimized Emergency Nursing Procedures

目的探讨急性心肌梗死患者应用优化急诊护理流程的救治效果及抢救成功率。方法抽取2018年6月—2019年6月在该院接受治疗急性心肌梗死患者78例为研究对象,根据其住院先后顺序从1~78编号,再按等差数列首项为1,公差为2的方式将78例患者平均分为两组,即对照组与实验组,两组患者均为39例。对照组患者行常规急诊急救护理,实验组患者在常规急诊急救护理基础上优化急诊护理流程,观察两组患者恢复情况,对比两组患者抢救成功率。结果实验组接诊至心电图时间(4.32±1.25)min、至导管室开始准备时间(10.34±4.27)min、至给药时间(22.14±8.64)min、至准备实施介入时间(44.29±14.33)min以及至收住院时间(87.64±14.37)min均显著短于对照组(7.33±1.22)、(16.44±5.31)、(30.37±10.01)、(60.32±16.49)、(122.33±24.58)min,差异有统计学意义(t=11.346、7.548、5.346、5.641、12.946,P<0.05);实验组患者抢救成功率(94.87%)高于对照组(82.05%),差异有统计学意义(χ^2=4.258,P<0.05)。结论急性心肌梗死患者应用优化急诊护理流程能够显著缩短患者接诊至心电图时间、至导管室开始准备时间、至给药时间、至准备实施介入时间以及至收住院时间,显著提高抢救成功率。

Objective To explore the treatment effect and rescue success rate of patients with acute myocardial infarction using optimized emergency nursing procedures.Methods A total of 78 patients with acute myocardial infarction who were treated in the hospital from June 2018 to June 2019 were selected as the research object.They were numbered from 1 to 78 according to the order of their hospitalization,and then the first item was 1 according to the arithmetic sequence,and the tolerance was 2;divided 78 patients into two groups on average,namely the control group and the experimental group,with 39 patients in each group.The patients in the control group received routine emergency care.The patients in the experimental group optimized the emergency care process based on the routine emergency care.The recovery of the two groups of patients was observed and the rescue success rate of the two groups was compared.Results In the experimental group,the time to ECG(4.32±1.25)min,the time to start preparation of the catheter room(10.34±4.27)min,the time to administration(22.14±8.64)min,and the time to prepare for intervention(44.29±14.33)min,the time to hospitalization(87.64±14.37)min was significantly shorter than the control group(7.33±1.22)min,(16.44±5.31)min,(30.37±10.01)min,(60.32±16.49)min,(122.33±24.58)min,,the difference was statistically significant(t=11.346,7.548,5.346,5.641,12.946,P<0.05);the rescue success rate of the experimental group(94.87%)was higher than the control group(82.05%),the difference was statistical significant(χ^2=4.258,P<0.05).Conclusion The application of optimized emergency care procedures for patients with acute myocardial infarction can significantly shorten the time from patient consultation to ECG,to the preparation time of the catheter room,to the time of administration,to the time of preparation for intervention,and the time of admission to hospital,which significantly improves the success rate of rescue.