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目的探讨急诊护理流程优化在急性心肌梗死抢救中的临床应用效果。方法将94例急性心肌梗死患者按照随机分层分组法分为观察组(52例)和对照组(42例),对照组给予常规急救护理干预,观察组采用优化急救护理流程,观察2组急救时间、心肌酶谱指标、心功能指标及生命体征指标,随访3个月,比较2组不良反应发生率。结果观察组住院时间、治疗费用、DTC、DTL及DTB时间均低于对照组,而急救成功率则高于对照组,差异有统计学意义(P<0.05)。观察组生命体征指标、心肌酶谱指标及心功能指标优于对照组,差异有统计学意义(P<0.05)。结论优化急诊护理流程能显著降低临床急救时间,提高临床急救成功率,有利于患者急救后心肌功能恢复,降低治疗后不良反应发生率,在急性心梗患者急救中具有重要的应用价值。
Objective To investigate the clinical application of emergency nursing process optimization in the rescue of acute myocardial infarction. Methods Ninety-four patients with acute myocardial infarction were randomly divided into observation group (n = 52) and control group (n = 42) by random stratified group. The control group was given routine emergency nursing intervention. The observation group was treated with optimized emergency nursing procedure, Time, myocardial enzymes, cardiac function indicators and vital signs, followed up for 3 months, the incidence of adverse reactions in two groups were compared. Results The hospitalization time, treatment cost, DTC, DTL and DTB time in observation group were lower than those in control group, but the success rate of first aid was higher than that in control group (P <0.05). The vital signs, the indexes of myocardial enzymes and the indexes of cardiac function in the observation group were better than those in the control group (P <0.05). Conclusion Optimizing the emergency nursing process can significantly reduce the clinical emergency time, improve the success rate of clinical emergency, is conducive to recovery of myocardial function after emergency, reduce the incidence of adverse reactions after treatment, and has an important value in the emergency treatment of patients with acute myocardial infarction.