急性心肌梗死患者围溶栓期用药护理的效果观察

目的：探讨优化急性心肌梗死（AMI）患者围溶栓期用药护理的临床效果。方法：选取本院急诊科2012年1月-2013年12月收治的32例接受溶栓治疗的AMI患者作为观察组,另选取2010年1月-2011年12月收治的30例接受溶栓治疗的AMI患者作为对照组。对照组采用常规护理方法,观察组在常规护理方法的基础上采用优化的AMI患者围溶栓期用药护理,观察比较两组的护理效果。结果：观察组患者溶栓期间的低血压或低心率发生率、恶性心律失常发生率明显低于对照组,住院天数明显短于对照组,且HAMD和HAMA阳性率均明显低于对照组,差异均有统计学意义（P〈0.05）。结论：积极开展优化的AMI围溶栓期用药护理,可以减少并发症发生率,缩短住院天数,减轻患者心理负担,具有良好的临床应用前景。

The Effect Observation of Medicine Nursing During Intravenous Thrombolytic Therapy in Acute Myocardial Infarction

Objective：To investigate the clinical effect of optimized medicine nursing during intravenous thrombolytic therapy in acute myocardial infarction（AMI）.Method：32 AMI patients who received intravenous thrombolytic therapy in our hospital emergency department from January 2012 to December 2013 were selected as the observation group,and 30 AMI patients who received intravenous thrombolytic therapy from January 2010 to December 2011 were selected as the control group.The control group was given conventional nursing methods,but the observation group was given optimized medicine nursing during intravenous thrombolytic therapy on the basis of conventional nursing methods.The nursing effects between the two groups was observed and compared.Result：The incidence rate of hypotension,bradycardia and malignance arrythmia in observation group were significantly lower than the control group,hospital stay was significantly shorter than the control group,and the positive rates of HAMD and HAMA in the observation group was significantly lower than the control group,the differences were statistically significant（P〈0.05）. Conclusion：Actively carry out optimized medicine nursing during intravenous thrombolytic therapy can reduce the incidence of complications and hospital stay,and relieve the patients psychological burden.It has a good prospect of clinical application.