优化急诊护理配合心电除颤仪对急性心肌梗死心搏骤停患者生存率和并发症的影响

Optimizing Emergency Care and Electrocardiographic Defibrillator on the Survival Rate and Complications of Patients with Acute Myocardial Infarction and Cardiac Arres

目的:探讨优化急诊护理配合心电除颤仪对急性心肌梗死心搏骤停患者的生存率和并发症的临床价值。方法:回顾性选取南平市第二医院2018年1月-2021年8月收治的100例急性心肌梗死心搏骤停患者作为研究对象,根据其采用的护理方式进行分组,采用常规急救护理的患者列入对照组(50例),采用优化急诊护理的患者列入观察组(50例),两组患者在护理前均使用心电除颤仪进行除颤,比较两组患者的抢救成功率、生存率、抢救前后的心功能改善情况和并发症发生率。结果:观察组的抢救成功率98.00%和生存率94.00%,均明显高于对照组的84.00%和80.00%,差异有统计学意义(P<0.05);抢救后,观察组患者的左心室射血分数(LVEF)明显高于对照组,左心室舒张末期内径(LVDD)明显低于对照组,差异有统计学意义(P<0.05);观察组患者的并发症发生率4.08%,明显低于对照组的21.43%,差异有统计学意义(P<0.05)。结论:对于急性心肌梗死心搏骤停患者而言,优化急诊护理配合心电除颤仪能有效改善患者的心功能情况,提高患者的抢救成功率和生存率,减少并发症的发生,值得临床进一步推广。

Objective:To explore the clinical value of optimizing emergency care and ECG defibrillator for the survival rate and complications of patients with acute myocardial infarction and cardiac arrest.Method:A total of 100 patients with acute myocardial infarction and cardiac arrest admitted to the Second Hospital of Nanping City from January 2018 to August 2021 were retrospective selected as the research objects,and they were grouped according to their nursing methods,and patients with routine emergency care were included in the control group(50 cases),patients with optimized emergency care were included in the observation group(50 cases).Both groups of patients were defibrillated with an ECG defibrillator before nursing,the rescue success rate,survival rate,cardiac function improvement before and after rescue and the incidence of complications of the two groups were compared.Result:The rescue success rate and survival rate of the observation group were 98.00%and 94.00%,which were significantly higher than 84.00%and 80.00%of the control group,the differences were statistically significant(P<0.05).After rescue,the left ventricular ejection fraction(LVEF)of the observation group was significantly higher than that of the control group,and the left ventricular end-diastolic diameter(LVDD)was significantly lower than that of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.08%,which was significantly lower than 21.43%in the control group,the difference was statistically significant(P<0.05).Conclusion:For patients with acute myocardial infarction and cardiac arrest,optimizing emergency care combined with an ECG defibrillator can effectively improve the patients’cardiac function,improve the patients’rescue success rate and survival rate,and reduce the occurrence of complications.It is worthy of clinical practice further promotion.