优化急救流程对急性心肌梗死患者抢救时间及急救效果的影响观察

Optimizing the effect of first aid procedure on rescue time and first aid effect in patients with acute myocardial infarction

目的分析优化急救流程对急性心肌梗死(AMI)患者抢救时间及急救效果的影响。方法选取2016年4月—2018年4月我院120出车接诊AMI患者92例,以随机数字表法分成2组,对照组(46例)行常规急救护理,观察组(46例)对患者急救过程进行优化。观察2组患者出诊时间、入院到首次扩张球囊(D-B)时间、启动救治时间,转运和入院后APACHEⅡ评分状况,住院时间,抢救成功率及并发症情况。结果观察组患者D-B时间及启动救治时间均低于对照组,差异有统计学意义(P<0.05);2组患者转运中APACHEⅡ评分无显著差异(P>0.05),观察组入院后的APACHEⅡ评分低于对照组(P<0.05);观察组患者住院时间低于对照组,抢救成功率高于对照组,并发症率低于对照组,差异均有统计学意义(P<0.05)。结论对AMI患者的急救流程进行优化可缩短急救时间,提高抢救成功率。

Objective To analyze the effect of emergency treatment on the rescue time and first aid effect of patients with acute myocardial infarction(AMI). Methods A total of 92 patients with AMI who were admitted to the hospital from April 2016 to April 2018 were enrolled. The random number table method was divided into 2 groups. The control group(46 cases)received routine emergency care. The observation group(46 cases)The patient’s first aid process was optimized;the patient’s time of visit,the time of admission to the first expansion balloon(DB),the time of initiation of treatment,the APACHE II score after transshipment and admission,the length of hospital stay,the success rate of rescue,mortality and complications were observed. Results The DB time and start-up time of the observation group were lower than those of the control group(P<0.05).The APACHE II score of the observation group was lower than that of the control group after admission(P<0.05).The survival rate of patients in the observation group was higher than that of the control group. The mortality,complication rate and hospitalization time were lower than the control group,and the difference was statistically significant(P<0.05). Conclusion Optimizing the emergency procedure of AMI patients is scientific and reasonable,which can shorten the emergency time of patients,reduce the mortality rate and improve the success rate of rescue.