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急性心肌梗塞患者的院前急救与急诊护理 被引量:13

Prehospital first aid and emergency nursing in patients with acute myocardial infarction
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摘要 目的分析急性心肌梗塞患者的院前急救方法和急诊护理措施。方法将2014年1月至2015年1月期间来我院急诊科接受治疗,予以院前急救和急诊护理的51例急性心肌梗塞患者设为研究组,将同一时间段内未接受院前急救和急诊护理,直接来我院急诊科就诊,给予常规护理的50例急性心肌梗塞患者设为常规组。结果研究组患者急救反应时间(发病至接受治疗)和住院时间均短于常规组(P<0.05)。常规组患者中,8例患者死亡,相关并发症发生率为28.0%,研究组中无死亡病例,相关并发症发生率为11.9%,研究组患者的预后状况明显优于常规组患者(P<0.05)。结论正确评估急性心肌梗塞患者的病情,对患者实施有效的院前急救和急诊护理,可有效提高患者急诊救治成功率,改善患者预后状况。 Objective To analyze the prehospital first aid methods and emergency nursing measures in patients with acute myocardial infarction (AMI). Methods This study included 51 AMI patients (observation group) given prehospital first aid and emergency nursing before being admitted to the Emergence Department of our hospital from January 2014 to January 2015, as well as another 50 AMI patients (conventional group) given conventional nursing in the Emergency Department of our hospital during the same period. Results The observation group had significantly shorter emergency response time and length of hospital stay than the conventional group (P〈0.05). The number of deaths and incidence rate of AMI-related complications in the conventional group and observation group were 8 vs 0 and 28.0% vs 11.9%, respectively; the observation group had significantly better prognosis than the conventional group (P〈0.05). Conclusion Correctly assessing the AMI conditions and implementing appropriate prehospital first aid and emergency nursing can effectively increase the success rate of AMI emergency treatment and improve the prognosis.
作者 张绍丽
出处 《心血管病防治知识(学术版)》 2015年第9期42-44,共3页 Prevention and Treatment of Cardiovascular Disease
关键词 急性心肌梗塞 院前急救 急诊护理 急救反应时间 住院时间 Acute myocardial infarction Prehospital first aid Emergency nursing Emergency response time Length of hospital stay
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