急诊护理流程优化对STEMI患者PCI救治时间及康复效果的影响

Effect of emergency nursing process optimization on treatment time and rehabilitation effect of PCI in STEMI patients

目的:探讨急诊护理流程优化对ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)救治时间及康复效果的影响。方法:选取2019年3月至2020年3月本院采取常规急诊护理流程期间收治的STEMI患者53例作为对照组,另选取2020年4月至2021年4月本院采取急诊护理流程优化期间收治的STEMI患者53例作为观察组。比较2组救治时间、心肌损伤情况和并发症发生风险。结果:观察组建立静脉通路时间、进门-球囊扩张时间、手术时间均短于对照组,干预后肌酸激酶同工酶、心肌肌钙蛋白I水平均低于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:急诊护理流程优化可缩短STEMI患者PCI救治时间,缓解患者心肌损伤程度,减少并发症发生。

Objective:To explore the effect of emergency nursing process optimization on the treatment time and rehabilitation effect of percutaneous coronary intervention(PCI)in patients with ST-segment elevation myocardial infarction(STEMI).Methods:Fifty-three cases of STEMI patients admitted to our hospital received the routine emergency nursing procedure from Mar 2019 to Mar 2020 were selected as the control group,and 53 cases of STEMI patients admitted to our hospital received the emergency nursing procedure optimization from Apr 2020 to Apr 2021 were selected as the observation group.The treatment time,myocardial injury and incidence of complications were compared between the two groups.Results:The time of establishment of venous access,entry-balloon dilation time and operation time in the observation group were shorter than those in the control group(P<0.01).After intervention,the levels of creatine kinase isoenzyme(CK-MB)and cardiac troponin I(cTnI)in the observation group were lower than those in the control group(P<0.01).The incidence of complications was also lower than that in the control group(P<0.05).Conclusion:The emergency nursing process optimization can shorten the treatment time of PCI in STEMI patients,alleviate the degree of myocardial injury and reduce the incidence of complications.