院前院内一体化急救模式结合思维导图对急性心肌梗死患者急救效果、心肌损伤情况的影响

Effects of pre-hospital and in-hospital integrated first aid mode combined with mind map on first aid effect and myocardial injury in patients with acute myocardial infarction

目的探究院前院内一体化急救模式结合思维导图在急性心肌梗死中的应用效果。方法择取2019年11月至2021年3月我院接收的92例急性心肌梗死患者进行研究,根据护理方案不同将其分为对照组和观察组,各46例。对照组接受常规急救,观察组在对照组基础上加施院前院内一体化急救模式结合思维导图。比较两组的干预效果。结果观察组的预检评估时间、医生接诊时间、急诊抢救时间、病情控制时间、手术室转运时间均短于对照组,差异具有统计学意义(P<0.05)。干预前,两组的肌钙蛋白I(cTnI)、肌红蛋白(MYO)、磷酸肌酸激酶同工酶(CK-MB)水平比较,差异无统计学意义(P>0.05);干预后,两组的cTnI、MYO、CK-MB水平均低于干预前,差异具有统计学意义(P<0.05);干预后,观察组的cTnI、MYO、CK-MB水平均低于对照组,差异具有统计学意义(P<0.05)。观察组的不良事件发生率、重症监护病房(ICU)入住率低于对照组,急救成功率高于对照组,差异具有统计学意义(P<0.05)。结论院前院内一体化急救模式结合思维导图用于急性心肌梗死患者急救中,可提高急救效果,缓解心肌损伤指标,降低不良事件发生率、ICU入住率,值得推广。

Objective To explore the application effect of pre-hospital and in-hospital integrated first aid mode combined with mind map in acute myocardial infarction.Methods A total of 92 patients with acute myocardial infarction enrolled in our hospital from November 2019 to March 2021 were selected for study.According to different nursing schemes,the patients were divided into control group and observation group,with 46 cases in each group.The control group received routine first aid,while the observation group received pre-hospital and in-hospital integrated first aid mode combined with mind map on the basis of the control group.The intervention effects of the two groups were compared.Results The pre-assessment evaluation time,doctor reception time,emergeney rescue time,disease control time and operating room transfer time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in the levels of cardiac troponin I(cTnI),myoglobin(MYO)and creatine kinase isoenzymes(CK-MB)between the two groups(P>0.05);after intervention,the levels of cTnI,MYO and CK-MB in the two groups were lower than those before intervention,and the differences were statistically significant(P<0.05);after intervention,the levels of cTnI,MYO and CK-MB in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse events and intensive care unit(ICU)occupancy rate in the observation group were lower than those in the control group,the success rate of first aid was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The pre-hospital and in-hospital integrated first aid mode combined with mind map in the first aid of patients with acute myocardial infarction can improve the first aid effect,alleviate the myocardial injury indexes,and reduce the incidence of adverse events and ICU occupancy rate,which is worthy of promotion.