刘学军+田海平+李波

【摘要】 目的：探讨院前急救护理路径在急性心肌梗死患者中的临床应用的效果。方法：选取笔者所在医院收治的90例急性心肌梗死患者，将其按照不同护理方法分成对照组与观察组，各45例，对照组应用院前常规护理干预，观察组应用院前急救护理路径，对比两组患者的临床护理效果。结果：观察组患者急救诊断率、转运成功率、急救成功率均明显高于对照组，差异均有统计学意义（P<0.05）；观察组患者住院时间明显短于对照组，患者满意度明显高于对照组，差异均有统计学意义（P<0.05）。结论：院前急救护理路径在急性心肌梗死患者中的临床应用的效果满意，可明显提升急救成功率与患者满意度，值得推广。

【关键词】 院前急救护理路径； 急性心肌梗死； 临床应用

doi：10.14033/j.cnki.cfmr.2017.7.036 文献标识码 B 文章编号 1674-6805（2017）07-0072-02

【Abstract】 Objective：To explore the clinical application of pre-hospital emergency nursing pathway in patients with acute myocardial infarction.Method：90 cases of acute myocardial infarction patients in the authors hospital were selected，according to the different nursing methods were divided into control group and observation group with 45 cases in each group，the control group was given routine pre hospital nursing intervention，the observation group was given pre-hospital emergency nursing path，clinical nursing effects between two groups were compared.Result：The observation group of patients with emergency diagnosis rate，transfer success rate，the success rate of emergency treatment were significantly higher than the control group，the differences were statistically significant（P<0.05）.Hospitalization time of observation group were significantly shorter than the control group，patients satisfaction was significantly higher than the control group，the differences were statistically significant（P<0.05）.Conclusion：The pre-hospital emergency nursing path in patients with acute myocardial infarction in the clinical application of satisfactory results，can significantly improve the success rate of first aid and patient satisfaction， it is worth promoting.

【Key words】 Pre-hospital emergency nursing path； Acute myocardial infarction； Clinical application

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

諸多文献报道指出，急性心肌梗死患者发病后1 h内院外死于猝死的概率约占50%，且患者的死因主要为心律失常[1-3]。实施院前急救护理路径，能为患者争取更多抢救时间，是挽救患者生命的重要保障[4]。基于此，本研究为了进一步探讨院前急救护理路径在急性心肌梗死患者中的临床应用的效果，选取笔者所在医院2015年9月-2016年9月收治的90例患者的临床资料进行回顾性分析，并对比院前常规护理干预与院前急救护理路径的应用效果，现将对比结果报道如下。

1 资料与方法

1.1 一般资料

选取笔者所在医院收治的90例急性心肌梗死患者作为研究对象，所有患者均符合临床诊断标准，并经冠状动脉造影及超声心动图等检查证实，患者均表现出不同程度的胸闷、呼吸困难、腹部不适等症状。按照不同护理方法将患者分成对照组与观察组，各45例。对照组：男26例，女19例；年龄47～82岁，平均（59.8±7.5）岁；急救时间为2～5 h，平均（2.8±0.6）h。……