规范化急救中心通道在老年急性心肌梗死患者抢救中的应用价值

Therapeutic value of standardized emergency center access in the rescue of elderly patients with acute myocardial infarction

目的探讨规范化急救中心通道在老年急性心肌梗死患者抢救中的应用价值。方法本研究选取2019年2月—2021年3月河南省某医院收治的126例老年急性心肌梗死患者为研究对象,按入院时间分为规范组(2019年2月—2020年8月)和常规组(2020年9月—2021年3月),每组63例。常规组患者予以常规急救流程护理,规范组患者予以规范化急救中心通道护理。比较2组患者急诊球囊扩张时间、停留时间、分诊评估时间、住院时间。比较2组患者抢救成功率。比较2组患者转运中、入院时急性生理与慢性健康状况(APACHEⅡ)评分。比较2组患者并发症发生率。结果规范组患者急诊球囊扩张时间、停留时间、分诊评估时间短于常规组,差异有统计学意义(P<0.05)。转运中,2组患者APACHEⅡ评分比较,差异无统计学意义(P>0.05)。入院时,2组患者APACHEⅡ评分均高于转运中,而规范组患者APACHEⅡ评分低于常规组,差异均有统计学意义(P<0.05)。规范组患者抢救成功率为96.83%,高于常规组的79.37%,差异有统计学意义(P<0.05)。规范组患者并发症发生率为8.20%,低于常规组的48.00%,差异有统计学意义(P<0.05)。结论规范化急救中心通道应用于老年急性心肌梗死患者抢救中,可改善救治情况,提高抢救效果,降低患者住院期间并发症发生风险,值得临床推广应用。

Objective To explore the value of standardized emergency center access in the rescue of elderly patients with acute myocardial infarction.Methods A total of 126 elderly patients with acute myocardial infarction admitted to a hospital in Henan Province from February 2019 to March 2021 were selected as the subjects and assigned to the standardized group(February 2019 to August 2020,n=63)and the conventional group(September 2020 to March 2021,n=63)according to the admission time.Patients in the conventional group received routine emergency procedures nursing,and patients in the standardized group standardized emergency center access nursing.Emergency balloon dilatation time,duration of stay,triage assessment time,and length of hospital stay were compared between the 2 groups.The successful rescue rate was compared between the two groups,and successful rescue was defined as patients with stable vital signs,clear consciousness,and being out of danger.Acute Physiology and Chronic Health Evaluation(APACHEⅡ)scores during transport and at admission were compared between the 2 groups.The incidence of complications was compared between the 2 groups.Results There were significant differences in emergency balloon dilatation time,duration of stay,and triage assessment time between the standard group and the conventional group(P<0.05).In transport,there was no significant difference in APACHEⅡscores between the 2 groups(P>0.05).After admission,APACHEⅡscores were higher than those in transport in both groups,and the standardized group was lower than the conventional group,with statistically significant differences(P<0.05).The successful rescue rate in the standard group was 96.83%,which was higher than that in the conventional group(79.37%),and the difference was statistically significant(P<0.05).The incidence rate of complications in the standard group was 8.20%,which was lower than that in the conventional group(48.00%),and the difference was statistically significant(P<0.05).Conclusion The application of standardized emergency center access in the rescue of elderly patients with acute myocardial infarction can improve the treatment,strengthen the rescue effect and reduce the risk of complications during hospitalization.These benefits justify a wider application of this procedure in clinical practice.