急性心肌梗死患者院前急救护理对抢救成功率的影响

Effect of Pre-hospital Emergency Care for Patients with Acute Myocardial Infarction on the Success Rate of Rescue

目的探讨急性心肌梗死患者院前急救护理对抢救成功率的影响。方法方便选取2019年3月—2020年4月该院收治的急性心肌梗死患者74例,按照抽签的方法将其分为两组,对照组(n=37)和研究组(n=37),对照组患者给予常规方案进行护理,研究组给予院前急救方案进行护理,对两组患者的院前抢救、运转成功率、临床指标、并发症的发生率及满意度进行比较。结果研究组患者的院前抢救率为78.4%运转成功率为94.6%明显高于对照组的56.8%、70.3%,差异有统计学意义(χ^(2)=5.323、5.368,P<0.05);研究组患者的急诊时间为(29.5±2.8)min,球囊扩张时间为(70.2±5.5)min,溶栓时间(36.4±3.6)min,住院天数(28.0±2.9)d,下床活动时间(21.2±3.3)h优于对照组的(41.1±4.2)min、(110.6±7.3)min、(58.4±4.2)min、(47.6±3.0)d、(43.8±4.1)h,差异有统计学意义(t=11.794、10.131、10.005、10.735、10.541,P<0.05);研究组患者的并发症发生率为35.1%低于对照组的70.3%,且满意度为89.2%高于对照组的64.9%,差异有统计学意义(χ^(2)=4.053、4.965,P<0.05)。结论院前急救护理对急性心肌梗死患者具有重要价值,可使患者的抢救成功率明显提高,同时降低病死率及并发症的发生率,对患者的临床指标缓解有着突出效果,值得在临床上推广应用。

Objective To explore the effect of pre-hospital emergency care for patients with acute myocardial infarction on the success rate of rescue.Methods A total of 74 patients with acute myocardial infarction admitted to the hospital from March 2019 to April 2020 were conveniently selected and divided into two groups according to the lottery method,the control group(n=37)and the study group(n=37),the patients in the control group were given routine nursing care,and the research group was given pre-hospital emergency care.The pre-hospital rescue,operation success rate,clinical indicators,complication rate and satisfaction of the two groups were compared.Results The pre-hospital rescue rate of patients in the study group was 78.4%,and the operation success rate was 94.6%,which was significantly higher than the 56.8%and 70.3%in the control group,the difference was statistically significant(χ^(2)=5.323,5.368,P<0.05);patients in the study group of emergency department time was(29.5±2.8)min,the balloon dilation time was(70.2±5.5)min,the thrombolysis time was(36.4±3.6)min,the hospital stay was(28.0±2.9)d,and the time to get out of bed was(21.2±3.3)h,better than the control group(41.1±4.2)min,(110.6±7.3)min,(58.4±4.2)min,(47.6±3.0)d,(43.8±4.1)h,the difference was statistically significant(t=11.794,10.131,10.005,10.735,10.541,P<0.05);the complication rate of the study group was 35.1%lower than the control group’s 70.3%,and the satisfaction rate of 89.2%was higher than that of the control group 64.9%,the difference was statistically significant(χ^(2)=4.053,4.965,P<0.05).Conclusion Pre-hospital emergency care is of great value for patients with acute myocardial infarction.It can significantly increase the success rate of patients’rescue,while reducing the mortality and complication rate.It has outstanding effects on the relief of patients’clinical indicators and is worthy of clinical use,promotion and application.