标准化急救护理流程对ST段抬高型心肌梗死患者急诊抢救的效果

孟晓琴; 贾亚平; 张旭; 陈国威

doi:10.16766/j.cnki.issn.1674-4152.000531

标准化急救护理流程对ST段抬高型心肌梗死患者急诊抢救的效果

doi: 10.16766/j.cnki.issn.1674-4152.000531

1. 嘉兴市第二医院急诊科, 浙江嘉兴 314000;
2. 嘉兴市第二医院心内科

基金项目:

2017年浙江省嘉兴市第一批科技计划项目(2017AY33031)

详细信息

通讯作者:
贾亚平,E-mail:mxq7894@126.com

中图分类号: R542.22;R472.2
计量
- 文章访问数: 215
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- PDF下载量: 3
- 被引次数: 0
出版历程
- 收稿日期: 2018-04-20
- 网络出版日期: 2022-08-06

To investigate the effectiveness of standardized emergency care procedures in emergency treatment of patients with ST-segment elevation myocardial infarction

Department of Emergency, Jiaxing Second Hospital, Jiaxing, Zhejiang 314000, China

摘要

摘要: 目的探究标准化急救护理流程对ST段抬高型心肌梗死患者的抢救效果。方法选取2016年1月-2018年3月在嘉兴市第二医院急诊科诊治的ST段抬高型心肌梗死患者110例,按照随机数字表法将其分为观察组和对照组各55例。对照组患者应用常规急诊护理流程,观察组患者应用标准化急救护理流程。观察2组患者急救相关指标(心电图时间、静脉开放时间、急诊停留时间、首次球囊扩张时间、住院时间)、3 h内患者ST段降低率、护理满意度。患者均随访6个月,记录2组患者急性心脏事件(心肌梗死、梗死后心绞痛、心力衰竭)及心源性死亡发生率。结果观察组患者心电图时间、静脉开放时间、急诊停留时间、首次球囊扩张时间、住院时间均短于对照组,P<0.05;观察组患者3 h内ST段降低率63.6%(35/55)高于对照组的40.0%(22/55),且观察组护理满意度为90.9%(50/55),高于对照组的74.5%(41/55),P<0.05;随访6个月后,观察组患者急性心脏事件发生率为12.7%(7/55)、心源性死亡发生率为0,对照组分别为29.1%(16/55)、7.3%(4/55),P<0.05。结论 ST段抬高型心肌梗死患者应用标准化急救护理流程可提高患者抢救效果,缩短患者抢救用时,提高患者预后和护理满意度,值得临床应用。
- 标准化急救护理 /
- ST段抬高型心肌梗死 /
- 急诊抢救
Abstract: Objective To explore the rescue effect of standardized emergency care procedures on ST segment elevation myocardial infarction patients. Methods A total of 110 patients with ST-segment elevation myocardial infarction diagnosed and treated in the emergency department of the Second Hospital of Jiaxing City from January, 2016 to March, 2018 were randomly divided into observation group and control group with 55 cases in each group. Patients in the control group were treated with routine emergency care procedures and patients in the observation group were treated with standardized emergency care procedures. The first-aid related indicators (ECG time, venous opening time, emergency stay time, first balloon dilatation time, and length of hospital stay) of the 2 groups were observed, the ST segment reduction rate and the nursing satisfaction degree within 3 hours. All patients were followed up for 6 months. The incidence of acute cardiac events (myocardial infarction, postinfarction angina, heart failure) and cardiac death was recorded in both groups. Results The patients in the observation group had shorter electrocardiogram time, intravenous opening time, emergency detention time, first balloon dilatation time, and hospitalization time than the control group (P<0.05). The rate of ST segment depression within 3 hours in the observation group was 63.6% (35/55), higher than 40.0% (22/55) of the control group, and the satisfaction rate of the observation group was 90.9% (50/55) higher than 74.5% (41/55) of the control group (P<0.05); after 6 months of follow-up, the incidence of acute cardiac events in the observation group was 12.7% (7/55) and the incidence of cardiac death was 0, while the control group were 29.1% (16/55) and 7.3% (4/55), respectively, P<0.05. Conclusion The standard emergency care procedure in ST segment elevation myocardial infarction patients can improve the patient's rescue effect, shorten the patient's rescue time, improve the patient's prognosis and nursing satisfaction, and is worthy of clinical application.
- Standardized emergency care /
- ST elevation myocardial infarction /
- Emergency rescue