谢静贤

【摘要】 目的：探讨急诊护理路径在抢救急性心肌梗死患者中的作用，为急诊救治患者提供理论依据。方法：选取2013年4月-2016年8月在笔者所在医院急诊救治的心肌梗死患者80例，根据护理措施的不同分为对照组与观察组，每组40例，其中对照组患者给予常规抢救程序及一般护理，观察组患者给予急诊护理路径进行护理。比较分析两组患者在抢救时间、抢救疗效等方面的不同。结果：观察组患者病情评估时间、在急诊室停留时间及急诊球囊扩张时间明显短于对照组患者，差异有统计学意义（P<0.05）；观察组患者院内心肌梗死复发例数、院内再次行PCI治疗例数明显少于对照组患者，差异有统计学意义（P<0.05）；两组患者住院时间比较差异无统计学意义（P>0.05）。结论：有效的急诊护理路径能够明显缩短患者的抢救时间，提高抢救成功率。

【关键词】 急诊护理路径； 急性心肌梗死； 抢救效果

doi：10.14033/j.cnki.cfmr.2017.7.035 文献标识码 B 文章编号 1674-6805（2017）07-0070-02

【Abstract】 Objective：To explore the influence of emergency care in rescuing patients with acute myocardial infarction，as to provide theoretical basis for emergency treatment of patients.Method：80 casas of patients with myocardial infarction were selected from April 2013 to August 2016 in the authors hospital emergency treatment，according to the prevailing care measures were divided into control group and observation group，with 40 patients in each group，the control group was given conventional rescue procedures and general care，observation group was treated with emergency nursing care path.The rescue time and the rescue efficacy of the two groups were compared.Result：The time of assessing the condition of patients，the residence time in the emergency room and emergency balloon time of the observation group were significantly shorter than the control group，the differences were statistically significant（P<0.05）.The relapse cases of myocardial infarction and cases of PCI therapy occuring again were significantly less than the control group，the differences were statistically significant（P<0.05）.There was no significant difference in the two groups of patients hospital stay（P>0.05）.Conclusion：Effective emergency care can significantly shorten the path to the patient's rescue time and increase the success rate.

【Key words】 Emergency care path； Acute myocardial infarction； Rescue effect

First-authors address：Chongqing Three Gorges Central Hospital，Chongqing 404000，China

急性心肌梗死是临床上常见的重症急症，患者多有冠心病病史，冠状动脉突然阻塞导致局部心肌组织坏死，严重影响血液循环[1]。患者主要表现为突发的胸前压榨性疼痛，由于该病病情发展迅速，患者死亡率极高，另外，近年来随着社会生活水平的增高，心脑血管疾病逐年增多，因此在急诊面对急性心肌梗死患者应当高度重视，有效的急诊护理不可缺少[2]。本文通过对80例急性心肌梗死患者进行不同的护理措施，探究急诊护理路径对急性心肌梗死患者抢救的作用及影响。

1 资料与方法

1.1 一般资料

选取2013年4月-2016年8月在笔者所在医院急诊救治的心肌梗死患者80例，经超声心动图、冠脉造影等检查均已确诊，根据护理措施的不同分为对照组与观察组，每组40例。……