时间路径式急救护理模式对急性冠脉综合征患者急救效率的影响

Effect of time-path emergency care model on the efficiency of first aid in patients with acute coronary syndrome

目的探究时间路径式急救护理模式对急性冠状动脉综合征(ACS)患者急救效率的影响。方法回顾性分析2017年3月至2019年6月我院收治的70例ACS患者的临床资料,以2017年3月至2018年3月救治的35例为对照组,2018年4月至2019年6月救治的35例为观察组。对照组实施常规急救护理,观察组实施时间路径式急救护理模式。比较两组入院期间各项时间指标、主要心脏不良事件(MACE)发生情况、抢救成功率及抢救成功时、治疗1周后的血液指标水平。结果观察组的首份心电图时间、心电图确诊时间、分诊时间、急救总时间、疼痛缓解时间、住院时间均短于对照组(P<0.05)。观察组的MACE总发生率低于对照组(P<0.05)。观察组的抢救成功率高于对照组(P<0.05)。治疗1周后,两组的肌酸激酶同工酶(CK-MB)、高敏心肌肌钙蛋白T(hs-cTnT)水平较抢救成功时明显降低,且观察组低于对照组(P<0.05)。结论时间路径式急救护理模式应用于ACS患者中有利于缩短分诊时间以及急救时间,提高急救效率,效果显著,值得推广。

Objective To explore the effect of time-path emergency care model on the efficiency of first aid in patients with acute coronary syndrome(ACS).Methods The clinical data of 70 patients with ACS admitted in our hospital from March 2017 to June 2019 were retrospectively analyzed.A total of 35 patients treated from March 2017 to March 2018 were taken as control group,and 35 patients treated from April 2018 to June 2019 were taken as observation group.The control group was given routine emergency care,and the observation group was given time-path emergency care model.The time indexes,the occurrence of major adverse cardiac events(MACE),the success rate of rescue,the levels of blood indexes at the time of successful rescue and after one week of treatment were compared between the two groups.Results The first electrocardiogram time,electrocardiogram diagnosis time,triage time,total first-aid time,pain relief time and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The total incidence of MACE in the observation group was lower than that in the control group(P<0.05).The success rate of rescue in the observation group was higher than that in the control group(P<0.05).After one week of treatment,the levels of creatine kinase-MB(CK-MB)and high sensitivity cardiac troponin T(hs-cTnT)in the two groups were significantly lower than those in the successful rescue,and those in the observation group were lower than the control group(P<0.05).Conclusion The time-path emergency care model applied in ACS patients can shorten the time of triage and first aid,and improve the efficiency of first aid with a significant effect,which is worth popularizing.