应急护理流程优化对急性心肌梗死患者抢救效果的研究

目的：研究应急护理流程优化（ECPO）对急性心肌梗死（AMI）患者的抢救效果分析。方法：选取因心电图ST段抬高并急诊入院的AMI患者98例,按入院时间将2013年1-5月入院的患者归入观察组（51例）,将2012年7-12月入院的患者归入对照组（47例）;观察组实施ECPO措施,对照组给予常规应急护理方案,对比两组抢救效果指标水平、院内AMI的复发率以及院内再行经皮冠状动脉介入治疗（PCI）治疗比率,以及两组患者对于护理流程的满意度情况。结果：观察组留急诊室的时间及急诊球囊的扩张时间均显著少于对照组,差异均有统计学意义（t=3.577,t=2.928;P〈0.05）。观察组院内AMI的复发率与院内再行PCI治疗率均显著少于对照组,差异均有统计学意义（x2=4.006,x2=4.581;P〈0.05）。观察组患者对于护理流程的满意度显著高于对照组,差异有统计意义（x2=11.055,P〈0.05）。结论：以ECPO措施对AMI患者进行抢救,效果十分显著,能有效缩短抢救时间,增加抢救成功率,值得临床推荐应用。

Emergency care process optimization in patients with acute myocardial infarction rescue effect analysis

Objective： To study the acute myocardial infarction （Acute myocardial infarction, AMI） rescue emergency care patient outcomes analysis process optimization （Emergency care process optimization, ECPO）. Methods： From July 2012 to May 2013, our hospital 98 cases of AMI patients as research subjects, both ST-segment elevation and emergency hospital. Patients included in the control group （47 cases） before this, the patient is classified after the cut-off point in the observation group （51 cases）. The control group received routine emergency care programs, and the observation group ECPO measures to rescue the effect of index contrast two levels, two-hospital AMI recurrence rate and re- PCI hospital treatment ratio, and two groups of patients satisfaction with care process for the situation. Results： The expansion of time and out of the emergency room observation group and emergency balloon time was significantly less than the control group, the difference was statistically significant（t=3.577, t=2.928; P〈0.05）. AMI hospital observation group relapse rate and re-PCI hospital treatment ratios were significantly less than the control group, the difference was statistically significant（x2=4.006, x2=4.581; P〈0.05）. The patients＆#39; satisfaction for the care process was significantly higher, the difference was statistically significant（x2=11.055, P〈0.05）. Conclusion： In patients with AMI ECPO rescue measures, the effect is very significant, and can effectively shorten the rescue time and increase the success rate, it is recommended clinical applications.