张侠 钟宛儒 毕翠玲 江婉仪

【摘要】 目的：探究优化急诊护理流程对急性心肌梗死（AMI）患者的抢救效果。方法：将2018年5月-2019年5月笔者所在医院急诊收治的82例AMI患者作为本次研究对象，将其随机分为对照组和观察组，每组41例。对照组采用常规急诊护理，观察组采用优化急诊护理。比较两组抢救时间及再次AMI及再次PCI率。结果：观察组分诊评估时间、输液通道建立时间、心电图时间及总抢救时间均明显短于对照组，差异有统计学意义（P<0.05）。观察组再次AMI率为2.44%，再次PCI率为2.44%，均低于对照组的14.63%、14.63%，差异有统计学意义（P<0.05）。结论：优化急诊护理流程可有效缩短抢救时间，降低再次AMI率及再次PCI率，具有一定的临床推广应用价值。

【关键词】 优化急诊护理流程 急性心肌梗死 抢救效果 作用

doi：10.14033/j.cnki.cfmr.2020.20.042 文献标识码 B 文章编号 1674-6805（2020）20-0-03

Effect of Optimized Emergency Nursing Process on the Rescue of Patients with Acute Myocardial Infarction/ZHANG Xia， ZHONG Wanru， BI Cuiling， JIANG Wanyi. //Chinese and Foreign Medical Research， 2020， 18（20）： -107

[Abstract] Objective： To explore the effect of optimized emergency nursing process on the rescue of patients with acute myocardial infarction （AMI）. Method： A total of 82 patients with AMI admitted in the emergency department of our hospital from May 2018 to May 2019 were selected as the subjects of this study.The patients were randomly divided into the control group and the observation group， with 41 cases in each group. The control group was given routine emergency nursing， and the observation group was given optimized emergency nursing. The rescue time and the rate of AMI and PCI again were compared between the two groups. Result： The triage evaluation time， infusion channel establishment time， electrocardiogram time and total rescue time of the observation group were significantly shorter than those of the control group， the differences were statistically significant （P<0.05）. The rate of AMI and PCI again in the observation group were 2.44% and 2.44% respectively， which was both lower than 14.63% and 14.63% in the control group， the differences were statistically significant （P<0.05）. Conclusion： Optimized emergency nursing process can effectively shorten the rescue time， reduce the rate of AMI and PCI again， which has certain clinical promotion and application value.

[Key words] Optimized emergency nursing process Acute myocardial infarction Rescue effect Role

First-authors address： Second Peoples Hospital in Huadu District of Guangzhou， Guangzhou 510850， China

急性心肌梗死（AMI）是冠状动脉急性、持续性缺血缺氧所引起的一种心肌梗死。相关数据调查显示，我国每年新发的AMI病例至少为50万[1]，而近些年还有持续上升的状况，而AMI发病较为急促，致死率极高，对于AMI患者而言，有效的急診抢救是提升其生存质量的关键所在。早期经皮冠状动脉介入治疗（PCI）是救治AMI的关键，而优化护理流程可为患者缩短抢救治疗时间，降低再次PCI率[2]。因此笔者所在医院对2018年5月-2019年5月笔者所在医院急诊收治的82例AMI患者作为研究对象，探讨优化急诊护理流程对AMI患者抢救效果的影响，现报告如下。

1 资料与方法

1.1 一般资料

选取2018年5月-2019年5月笔者所在医院急诊收治的82例AMI患者，纳入标准：均符合AMI的临床诊断标准。排除标准：（1）患有其他器官类疾病及无法正常沟通者;（2）不配合研究者。将其随机分为对照组和观察组，每组41例。对照组男29例，女12例;年龄48～74岁，平均（55.0±1.6）岁。……