急诊全程优化护理在急性心肌梗死患者急救中的康复效果探讨

目的探究急诊全程优化护理在急性心肌梗死(AMI)患者急救中的康复效果。方法选取本院2014年10月—2016年10月急性心肌梗死患者94例,按照入院顺序将患者均分为观察组与对照组,每组47例,对照组患者给予急诊常规护理,观察组患者给予急诊全程优化护理,比较2组患者急救时间差异及治疗后康复效果。结果观察组患者分诊评估时间、静脉采血时间、建立静脉通道时间、急诊手术时间、急救总时间、住院时间显著短于对照组(P0.05);与治疗前比较,2组患者LVEF、LVEDV、LVFS等心功能水平均显著改善(P0.05);治疗后,观察组LVEF、LVFS水平较对照组显著较高,LVEDV水平较对照组显著较低(P0.05);观察组院内AMI复发率为6.38%,较对照组的21.28%显著较低(P0.05);观察组院内再次经皮冠状动脉介入治疗手术(PCI)率为10.64%,显著低于对照组的27.66%(P0.05)。结论给予AMI患者全程优化护理能保证抢救工作的有序进行,有效缩短急救时间,挽救患者缺血心肌,最大限度保障了手术的顺利进行,提高抢救成功率,明显改善患者预后,值得临床推广应用。

Rehabilitation effect of emergency whole-course optimized nursing in the first aid of patients with acute myocardial infarction

Objective To explore the rehabilitation effect of emergency whole-course optimized nursing in the first aid of patients with acute myocardial infarction (AMI).Methods A total of 94 patients with AMI treated in our hospital from October 2014 to October 2016 were divided into observation group and control group according to the order of admission, with 47 cases in each group.Patients in the control group were given routine nursing, and patients in the observation group were given emergency whole-course optimized nursing.The time of first aid and rehabilitation effects were compared between the two groups.Results The time of triage evaluation, time of venous blood collection, time of establishing venous access, time of emergency operation, total time of emergency treatment and the length of hospital stay in the observation group were significantly shorter than those in the control group (P<0.05).After treatment, LVEF, LVEDV, LVFS and other cardiac function levels in the two groups were significantly improved (P<0.05).And levels of LVEF and LVFS were significantly higher and LVEDV level was significantly lower in the observation group than the control group (P<0.05).The recurrence rate of AMI in the observation group was significantly lower than that in the control group (P<0.05).The re-operation rate of percutaneous coronary intervention surgery (PCI) was significantly lower in the observation group than the control group (10.64% vs.27.66%) (P<0.05).Conclusion The application of whole-course optimized nursing in AMI patients can guarantee the smooth implementation of rescue, effectively shorten the time of first aid, save the ischemic myocardium, ensure smooth operation, improve the success rate of first aid, and significantly improve the prognosis of patients.