胸痛中心再灌注救治流程护理对急性心肌梗死患者救治成功率的影响

目的探讨胸痛中心(CPC)再灌注救治流程护理对急性心肌梗死患者救治成功率的临床效果。方法选取442例均行静脉溶栓后早期经皮冠状动脉介入治疗(PCI)的ST段抬高型心肌梗死患者作为研究对象,随机分成2组各221例,对照组采用常规护理,观察组按胸痛中心再灌注流程进行护理,分析比较入院到球囊扩张时间、平均住院天数、平均住院费用以及患者满意率、院内死亡率、PCI成功率、护理不良事件发生率情况,并对结果进行统计学分析。结果观察组患者的平均住院费用、住院时间及入院到球囊扩张时间均远远低于对照组(P0.05);对照组患者的护理不良事件发生率、PCI成功率及院内死亡率与观察组差异显著(P0.05),护理满意度远低于观察组(P0.05)。结论胸痛中心再灌注救治流程应用于心肌梗死患者的护理,可有效降低住院费用,节省住院时间和医疗资源,提高患者生存率,改善愈后,值得在临床上大力推广和应用。

Effect of chest pain center reperfusion process nursing on success rate of patients with acute myocardial infarction

Objective To explore effect of the chest pain center (CPC) reperfusion process nursing on success rate of patients with acute myocardial infarction.Methods A total of 442 ST segment elevation myocardial infarction cases with early percutaneous coronary interention (PCI) after intravenous thrombolysis were selcted as the research objects and were randomly divided into control group with conventional care and observation group with chest pain center reperfusion process nursing,admission to the balloon expansion time,average hospitalization days and the average hospitalization expenses,and patients'satisfaction,hospital mortality,success rate of PCI,incidence of nursing adverse events were analyzed.Results Observation group had less average hospitalization expenses,length of hospital stay and admission to the balloon expansion time than the control group (P ＜ 0.01);There were significant difference in incidence of nursing adverse events,the success rate of PCI and hospital mortality in two groups (P ＜ 0.05),and the nursing satisfaction in the control group was lower than the observation group (P ＜ 0.01).Conclusion Chest pain center reperfusion treatment processes applied in patients with myocardial infarction care can effectively reduce the hospitalization cost,save the time of hospitalization and medical resources,improve the survival rate of the patients and ameliorate the prognosis,so it is worth promoting and application in clinic.