优化院前急救转运护理在急性心肌梗死患者中的应用与成效

目的：探讨96例急性心肌梗死患者院前急救对策，提高急性心肌梗死患者的院前抢救成功率。通过院前的现场急救和转运护理，缩短从症状到救治的时间，有效减少心肌梗死并发症的发生。方法将96例急性心肌梗死患者按随机分组法分为对照组和观察组，对照组直接由急诊120出车接回我科，观察组由我科专科护士及医生经过院前指导、现场急救、建立静脉通道、镇静止痛、严密观察病情及用药反应、心理护理、安全转运回我科。结果观察组手术成功率及住院天数明显优于对照组（ P＜0．05）有统计学意义。结论对急性心肌梗死患者在院前由心血管专科医护人员进行转运，实施相应的院前急救护理措施、加强监护、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 application of optimized pre-hospital care in acute myocardial infarction patients and it＆#39;s efficacy

Objective To discuss the countermeasures for patients in prehospital emergency suffered from acute myocardial infarction , for increasing the prehospital rescue success rate for them .Through on-site emergency rescue and transport and prehospital emergency care , shorten the period from symptoms to cure , reduce the occurrence of complications of myocardial infarction . Methods 96 cases of acute myocardial infarction patients were divided into control group and observation group , patients in the control group were transport to our department directly by emergency 120 turnout, hoever, patients in observation group received pre-hospital first aid and guidance by our skilled nurses and doctors , establishment of vein channel , sedative and analgesic , close observation of disease and drug response , psychological nursing , before they were transfered back to hospital.Results The operation success rate of observation group was higher than that of control group , but the length of hospital stay was significantly less than the control group , all the differences between the two groups were statistically significant（P 〈0.05）.Conclusions Correct pre-hospital guidance, corresponding pre-hospital emergency care measures and intimate monitoring were helpful to improve the success rate of emergency treatment for patients with acute myocardial infarction and to reduce the mortality .