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1、优化急诊护理流程对急性心肌梗死患者抢救效果的影响孙园孙园[]目的:评价优化急诊护理流程对急性心肌梗死(acutemyocardialinfarction,AMI)患者抢救效果。方法:2013年1月〜12月,医院共收治AMI患者104例,采用常规急诊护理,作为对照组,2014年1月〜2014年12月,医院共收治AMI患者114例,采用优化急诊护理流程护理,作为观察组,统计对比相关指标。结果:对照组术屮慢血流率、并发症合计例次率分别为25.96%、54.81%高于观察组16.67%、35.09%,差异具
2、有统计学意义(P<0.05);观察组急诊至球囊扩张时间、进出急诊室时间分别为(75.4±10.4)min、(50.3±10.4)min低于对照组(90.0±15.3)min、(63.9±11.3)min,3曰后LEVF水平(55.3±10.4)高于对照组(50.8±7.3),差异具有统计学意义(P<0.05);6个月内,观察组再发心肌梗死率、心绞痛发生率、心力衰竭率分别为(1.82)%、(7.27)%、(0.91)%
3、低于对照组(10.64)%、(19.15)%、(11.70)%,差异具有统计学意义(P<0.05)。结论:优化急诊护理流程虽不能提高AMI抢救成功率,但有助于缩短就诊至接受手术时间,进而减轻心肌损伤,降低并发症风险,改善患者预后。[关键词]急性心肌梗死急诊护理护理流程管理急诊急救DOI:10.3760/cma.j.issn.1672-7088.2015.27.48作者单位:250033,山东济南,山东大学第二医院急诊科孙园(1984—),女,本科,山东大学第二医院初级护师。EmergencyNurs
4、ingProcessOptimizationforAcuteMyocardialInfarctionResultsSunYuanAbstract:Objective:Toevaluateemergencynursingprocessoptimizationeffectforacutemyocardialinfarction(AMI).Methods:From2013.1to2013.12,104AMIpatientsweregivennormalemergencycare,from2014.1to2
5、014.12,114AMIpatientsweregivenemergencynursingcare,theirrelativeindexeswererecorded.Results:Controlgroupslowflowrate,totalaccidentrate25.96%,54.81%werehigherthanobservationgroup16.67%,35.09%,differencefeaturedstatisticallysignificant(P<0.05);emergen
6、cytoballoonexpansion,timetomoveinandoutoftheemergencyroominobservationgroup(75.4±10.4)min,(50.3±10.4)minwerelowerthan(90.0±15.3)min,(63.9±11.3)min,after3days,LEVFlevel(55.3±10.4)washigherthan(50.8±7.3)incontrol
7、group,differencefeaturedstatisticallysignificant(P<0.05);after6months,recurrencerateofmyocardialinfarction,theincidenceofanginapectoris,heartfailurerate1.82%,7.27%,0.91%werelowerthan10.64%,19.15%,11.70%incontrolgroup,differencefeaturedstatisticallys
8、ignificant(P<0.05).Conclusion:Emergencynursingprocessoptimizationcan’timproveAMIrescuesuccessrate,however,itishelpfultoshortentimegapfromvisittothesurgerytime,reducecomplicationsrisk,improvepatientsprognosis.Keywords:acutemyoca