邓应美 李玉文

[摘要] 目的 探讨优化急诊护理模式和常规护理在急性心肌梗死患者抢救中的应用效果。 方法 选取我院急诊科2014年1月～2015年4月收治的急性心肌梗死患者共96例，按照急诊救治护理模式不同分为常规组（n=47）与优化组（n=49），常规组患者接受心肌梗死常规护理，优化组接受优化急诊护理，比较两组患者急性心肌梗死抢救效果、急救时间。 结果 优化组患者急性心肌梗死抢救显效率为48.9%，明显高于常规组的17.0%，差异有统计学意义（χ2=11.0256，P<0.05），优化组分诊评估时间、心电图时间、静脉采血时间及急救总时间均短于常规组（t=16.0571，10.0307，11.1962， 22.3170，P<0.05）。 结论 对急诊心肌梗死患者实施优化急诊护理可以提高心肌梗死急救效果，有效地缩短急救时间，同时也可缩短院内急救的时间，值得临床推广应用。

[关键词] 优化急诊护理；急性心肌梗死；抢救

[中图分类号] R542.2+2 [文献标识码] A [文章编号] 1674-4721（2016）02（a）-0186-03

Comparison the application of optimization emergency nursing and routine nursing in rescuing acute myocardial infarction patients

DENG Ying-mei LI Yu-wen

Department of Emergency，Shunde District Longjiang Hospital of Foshan City in Guangdong Province， Foshan 528318，China

[Abstract] Objective To explore the application effects of optimization emergency nursing mode in rescuing acute myocardial infarction patients. Methods 96 acute myocardial infarction patients from January 2014 to April 2015 of emergency department in our hospital were selected and were divided into routine group （n=47） and optimization group （n=49） by different emergency care nursing mode.Patients in routine group were used routine nursing of myocardial infarction，and patients in optimization group were used optimization emergency nursing.Rescue effects and rescue time of acute myocardial infarction patients in two groups were compared. Results The rescue effects rate of acute myocardial infarction patients in optimization group was 48.9%，obvious higher than that was 17.0% in routine group，and the difference was statistical significance （χ2=11.0256，P<0.05）.The triage assessment time， electrocardiogram time，venous sampling time and total rescue time in optimization group shorter than that of routine group （t=16.0571，10.0307，11.1962， 22.3170，P<0.05）. Conclusion Using optimization emergency nursing for acute myocardial infarction patients can enhance the rescue effects of myocardial infarction.shorten the rescue time effectively and shorten hospital emergency time.It is worth to popularize in clinical.

[Key words] Optimization emergency nursing；Acute myocardial infarction；Rescue

心肌梗死（acute myocardial infarction，AMI）是心血管疾病中死亡率极高的一类急症，我国患有不同心血管疾病的患者约有2.3亿人，其中AMI患者约有200万[1]。AMI患者的诊断与救治就显得尤为重要，尽早接受治疗是决定患者心肌能否再灌注、降低病死率的关键[2]，AMI救治延迟分为院前延迟与院内延迟，作为急诊救护人员，有效缩短院内延迟时间对缩短AMI患者治疗“时间窗”有重要意义[3]。本研究通过建立优化急诊护理模式，提高了心肌梗死救治效果，现报道如下。

1 资料与方法

1.1 一般资料

选取我院急诊科2014年1月～2015年4月收治的急性心肌梗死患者共96例，按照急诊救治护理模式不同分为常规组（n=47）与优化组（n=49）。纳入与排除标准：①所有患者均符合ST段抬高AMI（STAMI）的相关诊断[4]；②存在心电图与心肌损伤标志物动态改变；③排除陈旧性心肌梗死；④排除有慢性心力衰竭、扩心病、瓣膜病等心脏基础疾病者；⑤排除合并肾、肝、肺等重要脏器功能不全者。……