急性心肌梗死的院前急救与护理

目的探讨急性心肌梗死患者院前急救护理的意义。方法选用2010年1月～2012年5月140例急性心肌梗死患者,观察组72例采取院前急救护理,对照组68例未实施院前急救护理,比较两组抢救成功、死亡率。结果观察组66例患者安全送回医院,死亡6例,抢救成功率91.67%,死亡率为8.33%;对照组患者送院后成功抢救53例患者,死亡15例,抢救成功率77.94%,死亡率为22.06%。观察组抢救成功率提高13.73%,死亡率降低13.73%。结论对急性心肌梗死患者在院前给予正确的指引,实施相应的院前急救护理措施、加强监护,、安全转运、正确交接班是提高急性心肌梗死患者急救成功率、降低死亡率的有效措施。

THE PRE-HOSPITAL FIRST AID AND NURSING CARE FOR ACUTE MYOCARDIAL INFARCTION

Objective To explore the significance of pre-hospital first aid and nursing care of acute myocardial infarction.Methods 140 cases of acute myocardial infarction patients were selected form Jan of 2010 to May of 2012;they were subdivided into observing group(72 cases) and control group(68 cases).In observing group patients were given pre-hospital first aid and nursing care,but in control group without these measures.Compare the success rate of emergency treatment and mortality of two groups.Results In observing group 66 patients were safely transported to hospital,6 dead,success rate of 91.67%,mortality 8.33%;in control group,53 cases were successfully saved after admission,15 dead,success rate of 77.94%,mortality 22.06%.The success rate of observing group had been increased by 13.73%,the mortality decreased by 13.73%.Conclusion Providing correct guidance to acute myocardial infarction patients before arrived hospital,implementing related pre-hospital first aid and nursing care,strengthening monitoring,safety transferring,correct handing over and taking over are the effective measures of improving acute myocardial infarction patients′ salvage success rate and lowering death rate.