刘颖

[摘要]目的 探讨急诊优质护理在急性心肌梗死（AMI）患者中的应用效果。方法 选取我院2016年7月～2017年8月收治的74例AMI患者，根据护理方法不同分为观察组和对照组，每组各37例。观察组给予优质护理，对照组给予常规护理，比较分析两组的住院时间及卧床时间、并发症发生率、护理总满意度、溶栓再通率与就诊到静脉溶栓时间。结果 观察组住院时间、卧床时间、就诊到静脉溶栓时间显著短于对照组（P<0.05）;并发症总发生率显著低于对照组（P<0.05）;护理总满意度、溶栓再通率显著高于对照组，差异均有统计学意义（P<0.05）。结论 急诊优质护理在AMI患者中的护理效果良好，值得临床推广应用。

[关键词]优质护理;急性心肌梗死;急诊

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-4721（2019）1（b）-0251-03

[Abstract] Objective To explore the effect of emergency high quality nursing in patients with acute myocardial infarction （AMI）. Methods A total of 74 patients with AMI in our hospital from July 2016 to August 2017 were selected and divided into observation group and control group according to different nursing methods， 37 cases in each group. The observation group were given high-quality nursing care and routine nursing was given in the control group. The hospital stay， bedridden time， incidence of complications and nursing satisfaction， the rate of thrombolysis recanalization and the time of intravenous thrombolysis of the two groups were compared and analyzed. Results The hospitalization time， bed rest time and intravenous thrombolysis time of the observation group were significantly shorter than those of the control group （P<0.05）， the total incidence of complications was significantly lower than that of the control group （P<0.05）， and the total nursing satisfaction and thrombolysis recanalization rate were significantly higher than those of the control group， the differences were statistically significant （P<0.05）. Conclusion Emergency high quality nursing in patients with AMI in the nursing effect is good， worthy of clinical promotion.

[Key words] High quality nursing; Acute myocardial infarction; Emergency treatment

急性心肌梗死（AMI）是常見心血管疾病之一，临床主要表现为突发性胸骨压榨性疼痛，休息及服用硝酸酯类药物不能完全缓解，同时伴有血清心肌酶活性增高，心电图出现进行性变化。患者发病时，可并发心律失常、休克等，严重危及生命[1-4]。随生活水平提高，AMI发病呈逐年上升趋势。该病发病急、发展快，具有较高致死率，后期恢复缓慢。病因为在冠状动脉粥样硬化狭窄基础上，受其他因素影响导致心肌缺血坏死。治疗关键为尽早开通梗死血管，恢复患者心肌血流灌注[5]。溶栓在灌注治疗能快速开通闭塞血管，操作简单便捷，院前处理时间以及治疗时间等对再灌注效果都会造成影响。给予患者有效护理干预，可缩短院前处理时间，使患者得到及时治疗。为探讨优质护理在AMI患者中的应用效果，本研究对我院74例AMI患者，给予不同护理干预，现报道如下。

1资料与方法

1.1一般资料

选取我院2016年7月～2017年8月收治的74例AMI患者，根据护理方法不同分为观察组和对照组，每组各37例。……